Organization
DAVID B. SIEVERS, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SIEVERS M.D. (PRESIDENT)
(818) 342-2123
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, SUITE 607, TARZANA, CA 91356-2804
(818) 342-2123
(818) 342-2141
Mailing address
18370 BURBANK BLVD, SUITE 607, TARZANA, CA 91356-2804
(818) 342-2123
(818) 342-2141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G16872
CA
2086X0206X
Surgical Oncology Physician
G16872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G168720
BLUE SHIELD
CA
05
—
00G168720
—
CA
01
—
G16872
PRIVATE INSURANCEPIN
—
Enumeration date
06/13/2006
Last updated
07/21/2010
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