Vijjeswarapu, Mary Alice

Vijjeswarapu, Mary Alice is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Vijjeswarapu, Mary Alice can be contacted via phone (310) 423-5841.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-5841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 266053 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 252000 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A147375 California

Profile Details

NPI number 1962765180
LBN Legal business name Vijjeswarapu, Mary Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Dec 13th, 2021 - about 3 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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