Individual provider · Type 1 NPI

Preston Pardamean Sitorus, MD

Student in an Organized Health Care Education/Training Program · Sylmar, CA

NPI number 1194305847 Active

Practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Call (747) 210-3000 Map

Mailing address

9067 Wharton Way
Elk Grove, CA 95624-4098

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194305847

Preston Pardamean Sitorus, MD's National Provider Identifier is 1194305847, issued on Apr 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sylmar, CA. The record was last updated on Apr 8, 2021.