SearchCalifornia235Z00000X

Venkata Vegivada

NPI 1720476104 · on the registry since 2015 · sole proprietor

Practice

Address
1510 Rock Glen Ave Apt 107
Glendale, CA 91205
Phone
(909) 831-3778
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California