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Organization

ALLERGY ASTHMA SINUSITIS MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIVYANG N TRIVEDI MD (PRESIDENT)
(562) 864-4500
Entity
Organization

Contact information

Practice address
11832 ROSECRANS AVE # 200, NORWALK, CA 90650-4107
(562) 864-4500
(562) 864-4959
Mailing address
11832 ROSECRANS AVE # 200, NORWALK, CA 90650-4107
(562) 864-4500

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A42411
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265473730
CA
Enumeration date
01/28/2016
Last updated
05/06/2024
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