Provider Demographics
NPI:1891133013
Name:SWAMINATHAN, KAVITHA (DO)
Entity Type:Individual
Prefix:MS
First Name:KAVITHA
Middle Name:
Last Name:SWAMINATHAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CENTURY PARK E STE 300
Mailing Address - Street 2:
Mailing Address - City:CENTURY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2006
Mailing Address - Country:US
Mailing Address - Phone:310-423-6400
Mailing Address - Fax:310-423-7635
Practice Address - Street 1:2080 CENTURY PARK E STE 300
Practice Address - Street 2:
Practice Address - City:CENTURY CITY
Practice Address - State:CA
Practice Address - Zip Code:90067-2006
Practice Address - Country:US
Practice Address - Phone:310-423-6400
Practice Address - Fax:310-423-7635
Is Sole Proprietor?:No
Enumeration Date:2013-06-10
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13887208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation