Individual
SIVAKAMI K SIVAPALAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 LUCY LN, CORONA, CA 92879-8612
(951) 808-8627
(951) 808-8627
Mailing address
1824 LUCY LN, CORONA, CA 92879-8612
(951) 808-8627
(951) 808-8627
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A64125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A641250
—
CA
Enumeration date
09/14/2005
Last updated
07/08/2007
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