Provider Demographics
NPI:1578941415
Name:SOMANATH, KEERTHAN (MD)
Entity type:Individual
Prefix:DR
First Name:KEERTHAN
Middle Name:
Last Name:SOMANATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6464 W SUNSET BLVD STE 750
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8006
Mailing Address - Country:US
Mailing Address - Phone:424-588-5350
Mailing Address - Fax:844-440-5653
Practice Address - Street 1:6464 W SUNSET BLVD STE 740
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8009
Practice Address - Country:US
Practice Address - Phone:424-588-5350
Practice Address - Fax:844-440-5653
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1514432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry