| Venugopal Depala Md Inc | |
|
27349 Jefferson Ave Ste 109 Temecula CA 92590-5611 | |
| (951) 972-9318 | |
| (951) 296-3585 |
| Full Name | Venugopal Depala Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 27349 Jefferson Ave Ste 109, Temecula, California |
| Authorized Official Name and Position | Kari Nicole Bliss (DELEGATED OFFICIAL) |
| Authorized Official Contact | 9512003620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Venugopal Depala Md Inc 27574 Commerce Center Dr Ste 131 Temecula CA 92590-2535 Ph: (951) 200-3620 | Venugopal Depala Md Inc 27349 Jefferson Ave Ste 109 Temecula CA 92590-5611 Ph: (951) 972-9318 |
| NPI Number | 1407365935 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 09/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407365935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C52648 (California) | Primary |
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