Siccion, Eduardo P

Siccion, Eduardo P is an individual health care provider with primary practice located at 4523 Fruit St , La Verne CA 91750-2724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Siccion, Eduardo P can be contacted via phone (860) 999-9999.

Contact Information

Primary practice address
4523 Fruit St La Verne CA 91750-2724
Phone: (860) 999-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041916 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C54593 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X C54593 California

Profile Details

NPI number 1083701965
LBN Legal business name Siccion, Eduardo P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 4th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083701965 NPPES
Connecticut MEDICAID 001419168

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