Provider Demographics
NPI:1891844759
Name:PURI, VARSHA (DO)
Entity Type:Individual
Prefix:
First Name:VARSHA
Middle Name:
Last Name:PURI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:505 N FIGUEROA ST APT 633
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-1599
Mailing Address - Country:US
Mailing Address - Phone:949-683-6916
Mailing Address - Fax:949-683-6916
Practice Address - Street 1:3945 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-2440
Practice Address - Country:US
Practice Address - Phone:323-265-1998
Practice Address - Fax:323-265-1998
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9142208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A9142OtherMEDICAL LICENSE
CA20A9142OtherMEDICAL LICENSE