Individual
DR. SUMALA LOPANSRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N GARFIELD AVE, SUITE 306, MONTEREY PARK, CA 91754-1700
(626) 573-5005
Mailing address
223 N GARFIELD AVE, SUITE 306, MONTEREY PARK, CA 91754-1700
(626) 573-5005
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A33915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0008161
MEDICAL PROVIDER NUMBER
CA
01
—
WA 33915B
MEDICARE PROVIDER NUMBER
CA
Enumeration date
11/13/2006
Last updated
01/18/2008
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