Sunderrajan, Ettayapurum V

Sunderrajan, Ettayapurum V is an individual health care provider with primary practice located at 11180 Warner Ave Suite 253, Fountain Valley CA 92708-7501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Sunderrajan, Ettayapurum V can be contacted via phone (714) 979-2825.

Contact Information

Primary practice address
11180 Warner Ave Suite 253 Fountain Valley CA 92708-7501
Phone: (714) 979-2825
Fax: (714) 979-2862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A42385 California

Profile Details

NPI number 1679511315
LBN Legal business name Sunderrajan, Ettayapurum V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 24th, 2013 - about 13 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 1679511315 NPPES
California Other 330387285 BLUE CROSS OF CALIFORNIA
California Other 330387825 BLUE CROSS OF CALIFORNIA
California Other ZZZ33736Z BLUE CROSS OF CALIFORNIA
California Other 330387285 BLUE CROSS OF CALIFORNIA
California Other GR0053330 BLUE CROSS OF CALIFORNIA

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