Provider Demographics
NPI:1275634719
Name:VOGELPOHL, WILLIAM C (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:VOGELPOHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:337 EL DORADO ST
Mailing Address - Street 2:SUITE A3
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4647
Mailing Address - Country:US
Mailing Address - Phone:831-649-4202
Mailing Address - Fax:831-649-0458
Practice Address - Street 1:337 EL DORADO ST
Practice Address - Street 2:STE A3
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4647
Practice Address - Country:US
Practice Address - Phone:831-649-4202
Practice Address - Fax:831-649-0458
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG324710207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0076410Medicaid
CAGR0076410Medicaid
CA00G324710Medicare PIN
CADD408ZMedicare PIN
A45163Medicare UPIN