Dr. Manjunath S Vadmal
Dermatologist
2720 W Magnolia Blvd
Burbank
, California 91505-3034
Dr. Manjunath S Vadmal
Dermatologist
2720 W Magnolia Blvd
Burbank
, California 91505-3034
(323) 935-8804
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Manjunath S Vadmal
- 8950 W Olympic Blvd Suite 171
- Beverly Hills, CA
- Zip : 90211-3561
- Fax : (323) 935-8804
- Phone : (323) 935-8800
Second Address
- Dr. Manjunath S Vadmal
- 2720 W Magnolia Blvd
- Burbank, CA
- Zip : 91505-3034
- Fax : (323) 935-8804
- Phone : (818) 842-8000
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FAQs
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Is Dr. Manjunath S Vadmal a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A73000 | CA |
National Provider Identifier
| NPI | 1043228083 |
|---|---|
| Provider Name | Dr. Manjunath S Vadmal |
| First Address | Beverly Hills, CA 90211-3561 |
| Second Address | Burbank, CA 91505-3034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 31/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A730000 | (05) | CA |
| 00A730000 | BLUE SHIELD (01) | CA |
| 220031112 | RAILROAD MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.