Individual provider · Type 1 NPI

Usha Vishvanath Date, MEDICAL DOCTOR

Specialist · Anaheim, CA

NPI number 1972609568 Active

Practice location

1717 E Lincoln Ave
Anaheim, CA 92805-4345

Call (714) 635-2642 Map

Fax (714) 635-8547

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA33895 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972609568

Usha Vishvanath Date, MEDICAL DOCTOR's National Provider Identifier is 1972609568, issued on Sep 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Anaheim, CA. The record was last updated on Jun 13, 2008.