Organization
UDPS
Active
Organization
UDPS
Active
Other names
University DermatoPathology Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJUNATH S VADMAL MD (PRESIDENT)
(323) 935-8800
Entity
Organization
Contact information
Practice address
2740 W MAGNOLIA BLVD UNIT 201, BURBANK, CA 91505-3051
(323) 935-8800
(323) 935-8804
Mailing address
8950 W OLYMPIC BLVD, SUITE 171, BEVERLY HILLS, CA 90211-3561
(323) 935-8800
(323) 935-8804
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A73000
CA
Other
Enumeration date
05/29/2006
Last updated
03/11/2019
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