Krishnamoorthy, Divya
Krishnamoorthy, Divya is an sole proprietor health care provider with primary practice located at 762 Cypress St , San Dimas CA 91773-3505. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Krishnamoorthy, Divya can be contacted via phone (909) 599-1227.Contact Information
Primary practice address
762 Cypress St
San Dimas CA 91773-3505
Phone: (909) 599-1227
Fax: (206) 299-9789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | C54901 | California |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | C54901 | California |
Profile Details
| NPI number | 1194742825 |
|---|---|
| LBN Legal business name | Krishnamoorthy, Divya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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