SearchCalifornia363A00000X

Anita Vaidyanathan, PA-C

NPI 1881247393 · on the registry since 2019 · sole proprietor

Practice

Address
12665 Village Ln Apt 4507
Playa Vista, CA 90094
Phone
(949) 201-9955
Clinicians at this address
2

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California