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1558984146
NATHAN JOSEPH VENGALIL
TARZANA, CA
NPI
1558984146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A196365)
Enumeration Date
2020-05-19
Last Update Date
2024-12-13
Business Address
Dr. NATHAN JOSEPH VENGALIL M.D.
18555 VENTURA BLVD STE E
TARZANA, CA 91356-4192
Phone number: 818-344-3376
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Mailing Address
Dr. NATHAN JOSEPH VENGALIL M.D.
818 N DOHENY DR APT 307
WEST HOLLYWOOD, CA 90069-4857
Phone number: 313-806-2476
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