Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | A30241 | CA |
Y | 207KA0200X | Allergist | A30241 | CA |
NPI | 1437120656 |
---|---|
Provider Name | Dr. Sanjiv Verma |
First Address | Ventura, CA 93003-7844 |
Second Address | Ventura, CA 93003-7844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 12/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A84068 | (02) | CA |