Healthcare Provider Details

I. General information

NPI: 1174985758
Provider Name (Legal Business Name): DOWNTOWN LA RESEARCH.INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W 6TH ST STE 307
LOS ANGELES CA
90017-1894
US

IV. Provider business mailing address

1125 W 6TH ST STE 307
LOS ANGELES CA
90017-1894
US

V. Phone/Fax

Practice location:
  • Phone: 213-261-3680
  • Fax:
Mailing address:
  • Phone: 213-261-3680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number20A12119
License Number StateCA

VIII. Authorized Official

Name: DR. SALIL U NADKARNI
Title or Position: DIRECTOR
Credential: D.O
Phone: 213-261-3680