Provider Demographics
NPI:1205996501
Name:LALA, VIMAL S (DO)
Entity type:Individual
Prefix:DR
First Name:VIMAL
Middle Name:S
Last Name:LALA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7230 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1907
Mailing Address - Country:US
Mailing Address - Phone:818-348-7246
Mailing Address - Fax:818-348-7248
Practice Address - Street 1:7230 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1907
Practice Address - Country:US
Practice Address - Phone:818-348-7246
Practice Address - Fax:818-348-7248
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2011-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8461208VP0014X
CA20A 8461207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine