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Contact Information

ARMANDO V DEPALA JR, MD
1550 A PROFESSIONAL DRIVE
PETALUMA, CA94954
 Phone: 707-769-7403
 Fax: 707-769-0134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ARMANDO V DEPALA JR · (Male)

NPI Number 1912938085
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A52324
  • CA Medicaid 00A523240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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