Vendegna, Thomas R

Vendegna, Thomas R is an individual health care provider with primary practice located at 1304 Ella St Ste A , San Luis Obispo CA 93401-4165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Vendegna, Thomas R can be contacted via phone (805) 549-9555.

Contact Information

Primary practice address
1304 Ella St Ste A San Luis Obispo CA 93401-4165
Phone: (805) 549-9555
Fax: (805) 549-0444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G83698 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G83698 California

Profile Details

NPI number 1760468599
LBN Legal business name Vendegna, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Nov 8th, 2023 - about 2 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 1760468599 NPPES
California MEDICAID 00G836980

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