Individual
VIJAY SHANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44215 15TH ST W, #204, LANCASTER, CA 93534-4014
(661) 726-9220
(661) 726-0240
Mailing address
44215 15TH ST W, #204, LANCASTER, CA 93534-4014
(661) 726-9220
(661) 726-0240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A66787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A667870
—
CA
Enumeration date
05/17/2006
Last updated
03/28/2011
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