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NPI Code Detail

MEDICARE: VARSHA PURI DO

MEDICARE: VARSHA PURI DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician20A9142CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120A9142OTHERCAMEDICAL LICENSE

General Provider Information

NPI Number : 1891844759
Entity Type Code : Individual
Provider Name (Legal Business Name) : VARSHA PURI DO
Provider Business Mailing Address
First Line : 505 N FIGUEROA ST APT 633
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-1599
Country : US
Telephone Number : 949-683-6916
Fax Number : 949-683-6916
Provider Business Practice Location Address
First Line : 3945 WHITTIER BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-2440
Country : US
Telephone Number : 323-265-1998
Fax Number : 323-265-1998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 03/07/2023

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Directions to “ VARSHA PURI DO” Practice Location

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