Vangala, Nivruthi

Vangala, Nivruthi is an individual health care provider with primary practice located at 19950 Rinaldi St , Porter Ranch CA 91326-4141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Vangala, Nivruthi can be contacted via phone (818) 403-2400.

Contact Information

Primary practice address
19950 Rinaldi St Porter Ranch CA 91326-4141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A120395 California

Profile Details

NPI number 1326282328
LBN Legal business name Vangala, Nivruthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2009
Last updated Jan 4th, 2016 - about 8 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 1326282328 NPPES
California MEDICAID 00A1203950

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