Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A84999 | CA |
NPI | 1013916279 |
---|---|
Provider Name | Dr. Vimal Vermani |
First Address | Ventura, CA 93003-7329 |
Second Address | Camarillo, CA 93010-2369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 08/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A849990 | (05) | CA |
H27023 | (02) | CA |