Depala, Venugopal

Depala, Venugopal is an sole proprietor health care provider with primary practice located at 27349 Jefferson Ave Suite 109, Temecula CA 92590-5634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Depala, Venugopal can be contacted via phone (951) 737-5787.

Contact Information

Primary practice address
27349 Jefferson Ave Suite 109 Temecula CA 92590-5634
Fax: (951) 296-3585
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C52648 California

Profile Details

NPI number 1699877480
LBN Legal business name Depala, Venugopal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Nov 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699877480 NPPES
California Other 00C526480 MEDICARE PTAN

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