Provider Demographics
NPI:1538381900
Name:VASA, MONISHA ROHITKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:MONISHA
Middle Name:ROHITKUMAR
Last Name:VASA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4505 COLFAX AVE
Mailing Address - Street 2:#5
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1900
Mailing Address - Country:US
Mailing Address - Phone:310-423-1240
Mailing Address - Fax:310-423-0114
Practice Address - Street 1:8730 ALDEN DRIVE
Practice Address - Street 2:W101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-3491
Practice Address - Fax:310-423-0114
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA897192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA#A89719OtherSTATE LICENSE NUMBER