Individual
THEODORE MARTENS SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
757 WESTWOOD PLZ, ROOM 8318, LOS ANGELES, CA 90095-8358
(310) 267-7832
Mailing address
1010 VETERAN AVE, ROOM 1232, LOS ANGELES, CA 90024-2704
(310) 794-7206
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
48398
CA
1835P1200X
Pharmacotherapy Pharmacist
48398
CA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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