Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRUCE EDWIN VANNATTA, MD
ActiveMR. BRUCE EDWIN VANNATTA, MD is a Hospice and Palliative Medicine healthcare provider located in LOS ALAMITOS, California. NPI 1629074877 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · LOS ALAMITOS, CA
Registration Details
- NPI Number
- 1629074877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (21.173943947512 yrs)
- Last Updated
- Apr 23, 2019
- Licenses
-
C39931 (CA)C39931 (CA)
Practice Information
- Address
-
3801 KATELLA AVESUITE 401LOS ALAMITOS, CA, 907203338Browse CA providers · Browse ZIP 90720
- Phone
- 5625983200
- Fax
- 5627993646
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
Other Hospice and Palliative Medicine Providers in LOS ALAMITOS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. OMID VAHDAT | M.D. | 1033164330 |
| WATSON A DESA | MD | 1235185620 |
| ROBERT S LEE | M.D. | 1861684201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.