Praveen R Jonnala in Los Angeles - Diagnostic Radiology
Praveen R Jonnala - NPI 1588760979
Praveen R Jonnala is a Diagnostic Radiology in Los Angeles, California. Praveen R Jonnala practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Praveen R Jonnala is 1588760979. The last update date is 2010-04-12.
Praveen R Jonnala's current location address is 5767 W. Century Blvd, Los Angeles, California. You can contact this provider via phone number 3103016800. The mailing address for Praveen R Jonnala is 5767 W. Century Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Praveen R Jonnala |
|---|---|
| Address | 5767 W. Century Blvd, Los Angeles, California |
| Phone Number | 3103016800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588760979 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2010-04-12 |
Provider Mailing Address Detail
| Address | 5767 W. Century Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900455655 |
| Phone Number | 3103016800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A88970 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A889700 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Praveen R Jonnala by the Centers for Medicare & Medicaid Services?
The Praveen R Jonnala has been issued the NPI (National Provider Identifier) 1588760979, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Praveen R Jonnala?
The Praveen R Jonnala is physically situated at 5767 W. Century Blvd, in the city of Los Angeles, state of CA, with the postal code 900455655.
What is Praveen R Jonnala's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Praveen R Jonnala's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588760979 to Praveen R Jonnala?
The Praveen R Jonnala received its 1588760979 assignment from the Centers for Medicare & Medicaid Services on 2006-09-15.
As of what date were the details related to Praveen R Jonnala most recently updated or revised?
The information pertaining to Praveen R Jonnala, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY