Organization
VIJAY KUMAR MD MEDICAL CORPORATION
Active
Organization
VIJAY KUMAR MD MEDICAL CORPORATION
Active
Other names
Vijay Kumar Kundal, Vijay Kumar MD Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAY KUMAR (OWNER)
(805) 527-5878
Entity
Organization
Contact information
Practice address
1174 AMAZON WAY, SIMI VALLEY, CA 93065-3156
(805) 527-5878
(805) 527-0114
Mailing address
1174 AMAZON WAY, SIMI VALLEY, CA 93065-3156
(805) 527-5878
(805) 527-0114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A46673
CA
207RP1001X
Pulmonary Disease Physician
Primary
A46673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A466730
BLUE SHIELD
CA
05
—
00A466730
—
CA
01
—
1689638587
NPI - INDIVIDUAL PROFESSIONAL TYPE 1
CA
01
—
1811024805
NPI - CORPORATION TYPE 2
CA
01
—
A46673
LICENSE
CA
01
—
CMCSUBK0S
MEDICAID SUBMITTER NUMBER
CA
01
—
GE519A
MEDICARE TYPE 2 PTAN EFFECT 6/27/2012
CA
01
—
GF413Z
MEDICARE TYPE 1 PTAN EFFECT 6/27/2012
CA
01
—
W15531
MEDICARE (PTAN) PROVIDER NUMBER
CA
Enumeration date
02/27/2007
Last updated
05/27/2026
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