SYAM P VUNNAMADALA MEDICAL CORP
NPI 1366983892
Specialist in Anaheim, CA

Active since March 16, 2017
1211 W LA PALMA AVE STE 310, ANAHEIM, CA 92801(714) 491-3928(714) 491-3960 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2017, Mar 17, 2017 (2 updates tracked since 2017).

About Syam P Vunnamadala Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYAM P VUNNAMADALA MEDICAL CORP (NPI 1366983892) is a healthcare organization registered as a specialist in Anaheim, California and active in the NPI registry since March 2017. The organization lists Syam P Vunnamadala, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1366983892
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSYAM P VUNNAMADALA MEDICAL CORP
Location Address1211 W LA PALMA AVE STE 310Anaheim, CA 92801-2815
Mailing Address10 Via GiadaNewport Coast, CA 92657-1623
Fax(714) 491-3960
Organization SubpartNo
Authorized OfficialSyam P VunnamadalaSole Owner · (714) 491-3928
Enumeration DateMarch 16, 2017
Last NPPES UpdateJune 13, 20172 updates tracked since enumeration
NPI 1366983892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A64189
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1211 W LA PALMA AVE STE 310, Anaheim, CA 92801

Other Identifiers 1

Medicaid00A641890CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1211 W LA PALMA AVE STE 310
ANAHEIM, CA 92801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Syam P Vunnamadala Medical Corp's NPI number?

The NPI number for Syam P Vunnamadala Medical Corp is 1366983892. It was assigned to this organization in the NPPES registry on March 16, 2017.

Where is Syam P Vunnamadala Medical Corp located?

Syam P Vunnamadala Medical Corp is located at 1211 W La Palma Ave Ste 310, Anaheim, CA 92801. The listed phone number is (714) 491-3928.

What is Syam P Vunnamadala Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Syam P Vunnamadala Medical Corp was last updated on June 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.