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VENKAT REDDY VANGALA M.D. INC

Ambulatory Surgical

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Contact Information

VENKAT REDDY VANGALA M.D. INC
18002 HIGHWAY 18
APPLE VALLEY, CA  92307
 Phone: 760-242-5505
 Fax: 760-242-3502
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

 261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for VENKAT REDDY VANGALA M.D. INC

NPI # 1629265715
LBN Legal business name VENKAT REDDY VANGALA M.D. INC
Authorized official NRIUPAMA VANGALA - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2007
Last updated 02/27/2012 - About 14 years ago
Identifiers
CA License # 051183
CA Medicaid SUR01183F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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