Individual
DR. VINEET KUMAR SHRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2888 LONG BEACH BLVD STE 400, LONG BEACH, CA 90806-1553
(562) 997-8510
Mailing address
PO BOX 513980, LOS ANGELES, CA 90051-3980
(714) 456-6431
(714) 456-7754
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
A86382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDI-CAL
CA
Enumeration date
07/19/2006
Last updated
07/07/2023
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