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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649694126 NPPES
California MEDICAID 00A1300180

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