DR. RAMANI S DURVASULA


Address: 5151 State University Drive, Csula - King Hall, Los Angeles, CA 90032
Phone: 3104358010

DR. RAMANI S DURVASULA (NPI# 1033367388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033367388
Entity Type Individual
Full Name DR. RAMANI S DURVASULA
Credential PH.D.
Practice Address 5151 State University Drive
Csula - King Hall
Los Angeles
CA 90032
Practice Telephone 3104358010
Practice Fax Number 3233432281
Mailing Telephone 3104358010
Mailing Fax Number 3233432281
Enumeration Date 2008-08-28
Last Update Date 2008-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY15741 CA Behavioral Health & Social Service Providers

Office Location

Street Address 5151 STATE UNIVERSITY DRIVE
CSULA - KING HALL
City LOS ANGELES
State CA
Zip Code 90032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316044282 Erica Ambrozevicius Gomez Physician Assistant 5151 State University Drive, Student Health Center, Los Angeles, CA 90032 2006-09-20
1396892394 Paul Sun Hyung Kim Internal Medicine 5151 State University Drive, Los Angeles, CA 90032-8411 2007-01-04

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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