Provider Demographics
NPI:1598999054
Name:LAL, DEEPALI (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPALI
Middle Name:
Last Name:LAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5138 MONTEREY HWY
Mailing Address - Street 2:STE G
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-4382
Mailing Address - Country:US
Mailing Address - Phone:408-687-4806
Mailing Address - Fax:408-687-4817
Practice Address - Street 1:812 POLLARD RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1420
Practice Address - Country:US
Practice Address - Phone:408-374-1212
Practice Address - Fax:408-374-4160
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2020-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA106959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA598999054OtherNPI
CA598999054OtherNPI