| Organization Name: | DR- D-V |
| NPI Number: | 1205217643 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUSHYANT VISWANATHAN (C E O) |
| Mailing Address: | 21900 Burbank Blvd 300 Woodland Hills |
| State: | CA US |
| Postal Code: | 913676469 |
| Phone Number: | 8187166043 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2015 |
| NPI Last Update Date: | 08/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 140801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |