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Organization
PRABHA VENUGOPAL MD INC
Active
Organization
PRABHA VENUGOPAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHA VENUGOPAL MD (PRESIDENT)
(805) 497-2727
Entity
Organization
Contact information
Practice address
215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
(805) 497-2727
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C51087
CA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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