Individual
DR. PIYUSH SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3715 PACIFIC AVE APT 3, MARINA DEL REY, CA 90292-5749
(310) 463-8773
Mailing address
3715 PACIFIC AVE APT 3, MARINA DEL REY, CA 90292-5749
(310) 463-8773
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A82591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A82591
CALIFORNIA LICENSE
CA
Enumeration date
01/08/2008
Last updated
02/11/2022
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