Individual
DR. NATHAN JOSEPH VENGALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8631 W 3RD ST STE 1035, LOS ANGELES, CA 90048-5964
(310) 659-9075
Mailing address
818 N DOHENY DR APT 307, WEST HOLLYWOOD, CA 90069-4857
(313) 806-2476
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A196365
CA
Other
Enumeration date
05/19/2020
Last updated
03/06/2026
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