Basic Information
| Provider Information | |||||||||
| NPI: | 1891133013 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWAMINATHAN | ||||||||
| FirstName: | KAVITHA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2080 CENTURY PARK E STE 300 | ||||||||
| Address2: | |||||||||
| City: | CENTURY CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900672006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104236400 | ||||||||
| FaxNumber: | 3104237635 | ||||||||
| Practice Location | |||||||||
| Address1: | 2080 CENTURY PARK E STE 300 | ||||||||
| Address2: | |||||||||
| City: | CENTURY CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900672006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104236400 | ||||||||
| FaxNumber: | 3104237635 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2013 | ||||||||
| LastUpdateDate: | 12/06/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | 20A13887 | CA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.