Dr. Eduardo P Siccion
Internist Medical Oncology
4523 Fruit St
La Verne
, California 91750-2724
Dr. Eduardo P Siccion
Internist Medical Oncology
4523 Fruit St
La Verne
, California 91750-2724
(860) 794-9348
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About
Features
Specialties
- Internist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Eduardo P Siccion
- 4523 Fruit St
- La Verne, CA
- Zip : 91750-2724
- Phone : (860) 794-9348
Second Address
- Dr. Eduardo P Siccion
- 4523 Fruit St
- La Verne, CA
- Zip : 91750-2724
- Phone : (860) 999-9999
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Is Dr. Eduardo P Siccion a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 041916 | CT |
| N | 111NI0900X | Internist | 041916 | CT |
| Y | 207RX0202X | Medical Oncology | C54593 | CA |
National Provider Identifier
| NPI | 1083701965 |
|---|---|
| Provider Name | Dr. Eduardo P Siccion |
| First Address | La Verne, CA 91750-2724 |
| Second Address | La Verne, CA 91750-2724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/10/2006 |
| Last Update Date | 04/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001419168 | (05) | CT |
| I22785 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.