Organization
SIVAKAMI K SIVAPALAN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAKAMI K SIVAPALAN MD (OWNER)
(951) 808-8627
Entity
Organization
Contact information
Practice address
1824 LUCY LN, CORONA, CA 92879-8612
(951) 808-8627
Mailing address
1824 LUCY LN, CORONA, CA 92879-8612
(951) 808-8627
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A64125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A641250
—
CA
Enumeration date
12/13/2007
Last updated
12/13/2007
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