Provider Demographics
NPI:1831825900
Name:NAGAMBIKA MUNAGANURU MD INC
Entity type:Organization
Organization Name:NAGAMBIKA MUNAGANURU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGAMBIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNAGANURU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-683-5704
Mailing Address - Street 1:24001 CALLE DE LA MAGDALENA
Mailing Address - Street 2:PO BOX 3391
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92654-9998
Mailing Address - Country:US
Mailing Address - Phone:925-683-3391
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty