Sivarama Prasad Vinjamury, LAC
Acupuncturist in Whittier, CA. Individual provider (NPI-1).
NPI number1114009552
StatusActive
Last updated in NPPESJan 29, 2021
Details
- NPI
- 1114009552
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sivarama Prasad Vinjamury
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Certification date
- Jan 29, 2021
- Last updated
- Jan 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 9458 | CA | Yes |
Practice location
16200 E Amber Valley DriveWhittier, CA 90604
Phone 562-943-7125 · Fax 562-902-3398
Mailing address
16200 E Amber Valley DriveWhittier, CA 90604
Phone 562-947-8755 · Fax 562-902-3332
Other practice locations
14758 Beach Blvd
La Mirada, CA 90638-4250
La Mirada, CA 90638-4250
Phone 562-646-7476
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