| NPI | 1639457138 |
|---|---|
| Former Legal Business Name | LAKSHMIDEVI V. PUTTA A SOLE PROPRIATORSHIP |
| Entity Type | Organization |
| Authorized Contact | LAKSHMIDEVI V PUTTA Owner 818-848-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |