Provider Demographics
NPI:1679113336
Name:LA PULSE MEDICAL, INC
Entity type:Organization
Organization Name:LA PULSE MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMPRASAD
Authorized Official - Middle Name:CHIPADI
Authorized Official - Last Name:DANDILLAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-809-2388
Mailing Address - Street 1:14558 SYLVAN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2324
Mailing Address - Country:US
Mailing Address - Phone:818-809-2388
Mailing Address - Fax:818-809-2389
Practice Address - Street 1:14558 SYLVAN ST STE 105
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-2324
Practice Address - Country:US
Practice Address - Phone:818-809-2388
Practice Address - Fax:818-809-2389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty