OrganizationSwaminatha V Gurudevan, Md, A Professional CorporationInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8635 W 3rd St, Suite 1050w, Los Angeles, CA 90048-6101(310) 956-4710PECOS EnrollmentBased on the most recent information from CMS, provider Swaminatha V Gurudevan, Md, A Professional Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1831511229Provider TypeOrganizationFull NameSwaminatha V Gurudevan, Md, A Professional CorporationSubpartNoEnumeration Date1/20/2014Last Updated3/5/2014Contact InformationPractice LocationPractice Address8635 W 3rd St, Suite 1050w, Los Angeles, CA 90048-6101Phone(310) 956-4710Fax(310) 997-0398Mailing LocationMailing Address8635 W 3rd St, Suite 1050w, Los Angeles, CA 90048-6101Phone(310) 956-4710Fax(310) 997-0398Authorized OfficialNameGurudevan, Swaminatha V (President)Phone(310) 956-4710Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA70212California