Organization
NATHAN VENGALIL MD, A PROFESSIONAL CORPORATION
Active
Organization
NATHAN VENGALIL MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN VENGALIL MD (CEO)
(313) 806-2476
Entity
Organization
Contact information
Practice address
818 N DOHENY DR APT 307, WEST HOLLYWOOD, CA 90069-4857
(313) 806-2476
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
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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