K.sivakumar,m.d.,inc | |
44215 15th St W Suite # 307 Lancaster CA 93534-4014 | |
(661) 949-5908 | |
(661) 949-5594 |
Full Name | K.sivakumar,m.d.,inc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 44215 15th St W, Lancaster, California |
Authorized Official Name and Position | Kumarasamy Sivakumar (PRESIDENT) |
Authorized Official Contact | 6619495908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
K.sivakumar,m.d.,inc 44215 15th St W Suite#307 Lancaster CA 93534-4014 Ph: (661) 949-5908 | K.sivakumar,m.d.,inc 44215 15th St W Suite # 307 Lancaster CA 93534-4014 Ph: (661) 949-5908 |
NPI Number | 1013108117 |
---|---|
Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013108117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A054211 (California) | Primary |
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