Individual
DR. SIVAGINI GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 226-7923
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101105
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A101105
CA
207RP1001X
Pulmonary Disease Physician
Primary
A101105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
08/10/2007
Last updated
10/25/2014
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