Provider Demographics
NPI:1326333485
Name:VEAL, TIMOTHY MELVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MELVIN
Last Name:VEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7660 FAY AVE STE H
Mailing Address - Street 2:# 390
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0021
Mailing Address - Country:US
Mailing Address - Phone:858-997-1397
Mailing Address - Fax:
Practice Address - Street 1:201 NORTH COURT ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291
Practice Address - Country:US
Practice Address - Phone:858-997-1397
Practice Address - Fax:858-367-5516
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1242692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA124269OtherMEDICAL LICENSE