Sivaruban, Premini
Sivaruban, Premini is an individual health care provider with primary practice located at 11333 Sepulveda Blvd , Mission Hills CA 91345-1116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Sivaruban, Premini can be contacted via phone (818) 365-9531.Contact Information
Primary practice address
11333 Sepulveda Blvd
Mission Hills CA 91345-1116
Phone: (818) 365-9531
Fax: (818) 837-5741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A130018 | California |
Profile Details
| NPI number | 1649694126 |
|---|---|
| LBN Legal business name | Sivaruban, Premini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2014 |
| Last updated | Mar 14th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649694126 | NPPES |
| California | MEDICAID | 00A1300180 |
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