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Organization

VENKAT REDDY VANGALA M.D. INC

Active
Other names
Hi-Desert Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
NRIUPAMA R VANGALA (ADMIN)
(760) 242-5505
Entity
Organization

Contact information

Practice address
18002 HIGHWAY 18, APPLE VALLEY, CA 92307
(760) 242-5505
(760) 242-3502
Mailing address
18002 HIGHWAY 18, APPLE VALLEY, CA 92307
(760) 242-5505
(760) 242-3502

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
051183
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SUR01183F
CA
Enumeration date
10/02/2007
Last updated
02/27/2012
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