Organization
CATHEDRAL MEDICAL INC.
Active
Parent organization
CATHEDRAL MEDICAL INC
Other names
Her Smart Choice E LA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHEDRAL MEDICAL INC
Authorized official
VIKRAM S KOTHANDARAMAN MD (MEDICAL DIRECTOR)
(213) 840-4757
Entity
Organization
Contact information
Practice address
2226 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-1825
(323) 266-4445
Mailing address
PO BOX 57629, LOS ANGELES, CA 90057-0629
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXX1234
—
CA
Enumeration date
12/26/2019
Last updated
12/26/2019
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