| Organization Name: | K.SIVAKUMAR,M.D.,INC |
| NPI Number: | 1013108117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KUMARASAMY SIVAKUMAR (PRESIDENT) |
| Mailing Address: | 44215 15th St W Suite # 307 Lancaster |
| State: | CA US |
| Postal Code: | 935344014 |
| Phone Number: | 6619495908 |
| Fax Number: | 6619495594 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | A054211 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |