Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A31897 | CA |
N | 2084N0400X | Neurologist | A31897 | CA |
NPI | 1669427514 |
---|---|
Provider Name | Dr. Rajeswari Ananda |
First Address | Ventura, CA 93003-7672 |
Second Address | Simi Valley, CA 93065-1550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A318970 | (05) | CA |
A26635 | (02) | CA |