Organization
SULOCHANA N TRIVEDI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULOCHANA TRIVEDI M.D. (PRESIDENT)
(949) 643-3346
Entity
Organization
Contact information
Practice address
16453 COLORADO AVE, PARAMOUNT, CA 90723-5011
(562) 531-3110
Mailing address
PO BOX 7630, LAGUNA NIGUEL, CA 92607-7630
(949) 643-3346
(949) 643-3560
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A26265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A262650
—
CA
Enumeration date
06/15/2007
Last updated
08/22/2020
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