Organization
GUNUPATI V CHELVAPILLA MD,MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELVAPILLA VENKATA CHELVAPILLA M.D (PRESIDENT)
(626) 914-7000
Entity
Organization
Contact information
Practice address
210 S GRAND AVE, #207, GLENDORA, CA 91741-4205
(626) 914-7000
(626) 914-7001
Mailing address
210 S GRAND AVE, #207, GLENDORA, CA 91741-4205
(626) 914-7000
(626) 914-7001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A26608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A26608
LICENSE NUMBER
CA
Enumeration date
04/02/2007
Last updated
08/22/2020
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