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Syam P Vunnamadala Medical Corp
Specialist in Anaheim, California
NPI 1366983892

Syam P Vunnamadala Medical Corp is a Specialist based in Newport Coast, CA. Syam P Vunnamadala Medical Corp practices in Anaheim, CA. The NPI Number for Syam P Vunnamadala Medical Corp is 1366983892 and holds a License No. A64189 (California).

The current practice location address for Syam P Vunnamadala Medical Corp is 1211 W La Palma Ave Ste 310, Anaheim, CA and can be reached out via phone at 714-491-3928 and via fax at 714-491-3960.

Location: 1211 W La Palma Ave Ste 310, Anaheim, CA, 92657-1623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366983892
Provider Name
Syam P Vunnamadala Medical Corp
Credential
Provider Entity Type
Organization
Address
1211 W La Palma Ave Ste 310, Anaheim, CA, 92657-1623
Phone Number
714-491-3928
Fax Number
714-491-3960
Provider Enumeration Date
03/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A641890 05 CA
institution
Provider Business Practice Location Address Details
Address
1211 W La Palma Ave Ste 310
City
Anaheim
State
California
Zip
92801-2815
Phone Number
714-491-3928
Fax Number
714-491-3960
person
Provider Business Mailing Address Details
Address
1211 W La Palma Ave Ste 310
City
Anaheim
State
California
Zip
92801-2815
Phone Number
714-491-3928
Fax Number
714-491-3960
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A64189 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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