Individual
VIJAYALAKSHMI S PRATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3330 3RD AVE STE 304, SAN DIEGO, CA 92103-5639
(619) 260-1012
(619) 260-1727
Mailing address
3330 3RD AVE STE 304, SAN DIEGO, CA 92103-5639
(619) 260-1012
(619) 260-1532
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A51136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A511361
—
CA
Enumeration date
10/05/2006
Last updated
10/20/2025
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