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
Phone: (951) 737-5787
Fax: (951) 296-3585
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699877480 | NPPES |
| California | Other | 00C526480 | MEDICARE PTAN |
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