Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divyasri Koneru

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1396632501

Divyasri Koneru is a Student in an Organized Health Care Education/Training Program in Lynwood, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3630 E Imperial Hwy
Lynwood, CA 90262
Phone: (310) 900-8524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1396632501
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2025
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address3630 E. Imperial Highway, Lynwood, CA 90262

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