Individual
ADARSHA N/A SHIVAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17234 VALLEY BLVD, BUILDING A, FONTANA, CA 92335-6720
(925) 285-0456
Mailing address
17234 VALLEY BLVD, BUILDING A, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11085
CA
2084P0800X
Psychiatry Physician
Primary
191973
CA
2084P0804X
Child & Adolescent Psychiatry Physician
191973
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
02/03/2025
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