Kesavulu, Vatsala

Kesavulu, Vatsala is an individual health care provider with primary practice located at 10833 Le Conte Ave 12-441 Mdcc, Los Angeles CA 90095-3075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Kesavulu, Vatsala can be contacted via phone (310) 206-3952.

Contact Information

Primary practice address
10833 Le Conte Ave 12-441 Mdcc Los Angeles CA 90095-3075
Fax: (310) 206-0209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A73745 California

Profile Details

NPI number 1730194317
LBN Legal business name Kesavulu, Vatsala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 30th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730194317 NPPES
California MEDICAID 00A737450

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