Sridevi Kesavan Korand
Family Medicine, Addiction Medicine in Loma Linda, CA. Individual provider (NPI-1).
NPI number1700345709
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1700345709
- Entity type
- Individual (NPI-1)
- Name
- Sridevi Kesavan Korand
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | A178658 | CA | Yes |
| 207Q00000X | Family Medicine | A178658 | CA |
Practice location
11332 Mountain View Ave Ste CLoma Linda, CA 92354-3854
Phone 909-558-6131
Mailing address
11332 Mountain View Ave Ste CLoma Linda, CA 92354-3854
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All 10 Addiction Medicine (Family Medicine) Physician providers in Loma Linda · All 5,377 providers in Loma Linda
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