Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Vimal J Ponnezhan, MD

Individual provider Internal Medicine Physician · NPI 1366653354

Dr. Vimal J Ponnezhan, MD is a Pulmonary Disease in Los Angeles, California. Qualified in 2006, 20 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Michigan.

Years since qualifying
20
Licensed in
CA, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone: (323) 267-0477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A116214 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301087977 (MI)

Record details

NPI number1366653354
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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