Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A130877 | CA |
NPI | 1356675573 |
---|---|
Provider Name | Dr. Thomas Mani Kurian |
First Address | Valencia, CA 91355-3702 |
Second Address | Valencia, CA 91355-3702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2009 |
Last Update Date | 02/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00 | N/A (01) |