Individual
DR. VIMAL J PONNEZHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4081 E OLYMPIC BLVD, LOS ANGELES, CA 90023-3330
(323) 267-0477
Mailing address
3579 E FOOTHILL BLVD STE 432, PASADENA, CA 91107-3119
(310) 422-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087977
MI
207RP1001X
Pulmonary Disease Physician
Primary
A116214
CA
Other
Enumeration date
05/24/2007
Last updated
08/24/2022
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