Most Relevant Information
Provider Data
| NPI Number: | 1003024977 |
| Provider Name: | PAWENA VIRULHSRI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME98245 |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 11/29/2021 |
Provider Practice Location
4502 E AVENUE S
PALMDALE
CA
935524480
Practice Location Phone/Fax
| Phone: | 6615337500 |
| Fax: | 6615337829 |
Provider Mailing Location
393 E WALNUT ST
PHR, 3RD FL
PASADENA
CA
911880001
Provider Mailing Phone/Fax
| Phone: | 8776080044 |
| Fax: | 8775140903 |
Suggested EMR
Pediatrics EMR