Healthcare Provider Details

I. General information

NPI: 1831217264
Provider Name (Legal Business Name): ANANDHI NARASIMHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 02/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10850 WILSHIRE BLVD STE 200
LOS ANGELES CA
90024-4315
US

IV. Provider business mailing address

3740 KEYSTONE AVE APT 204
LOS ANGELES CA
90034-6317
US

V. Phone/Fax

Practice location:
  • Phone: 310-943-7972
  • Fax:
Mailing address:
  • Phone: 310-903-3862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA89101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: