Individual provider · Type 1 NPI

Mathivarshini Sivachidambaram, MD

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

NPI number 1902609852 Active

Practice location

1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086

Call (310) 602-2550 Map

Mailing address

1403 Lomita Blvd Ste 102
Harbor City, CA 90710-2084

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 1902609852

Mathivarshini Sivachidambaram, MD's National Provider Identifier is 1902609852, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Harbor City, CA. The record was last updated on Mar 28, 2025.