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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