| 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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Kumarasamy Sivakumar M.d. ,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 N. 15th St. West, Lancaster, CA 93534 Phone: 661-949-5908 | |
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