PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION is a dental clinic center in La Mesa, CA. PRASAD GONAVARUM D.D.S., PROFESSIONAL CORPORATION NPI is 1124689302. The provider is registered as an organization entity type.
The provider's business location address is:
7122 UNIVERSITY AVE LA MESA, CA ZIP 91942-926 Phone: (619) 698-5471
The provider's authorized official is Prasad Gonavarum . The authorized official title is President/owner and has the following contact phone number (630) 788-5833.
The enumeration date for this NPI number is 6/27/2019 and was last updated on 6/27/2019.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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