person
Dr. Vijay Kumar, MD,FCCP
Specialist in Simi Valley, California
NPI 1689638587

Vijay Kumar is a Specialist based in Simi Valley, CA. Vijay Kumar practices in Simi Valley, CA and has the professional credentials of MD,FCCP. The NPI Number for Vijay Kumar is 1689638587 and holds a License No. A46673 (California).

The current practice location address for Vijay Kumar is 1174 Amazon Way, Simi Valley, CA and can be reached out via phone at 805-527-5878 and via fax at 805-527-0114.

Location: 1174 Amazon Way, Simi Valley, CA, 93065-3156
person
Provider Profile Details
NPI Number
1689638587
Provider Name
Vijay Kumar
Credential
MD,FCCP
Provider Entity Type
Individual
Gender
Male
Address
1174 Amazon Way, Simi Valley, CA, 93065-3156
Phone Number
805-527-5878
Fax Number
805-527-0114
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811024805 01 CA NPI - CORPORATION TYPE 2
CMCSUBK0S 01 CA MCAL SUBMITTER NUMBER
CMCSUBK0S 05 CA
1811024805 01 CA CORPORATION NPI
000022516 01 CA MEDICARE SUBMITTER NUMBER
1689638587 01 CA NPI - INDIVIDUAL PROFESSIONAL TYPE 1
W15531 01 CA MEDICARE (PTAN) PROVIDER NUMBER
00A466730 05 CA
A46673 01 CA STATE LICENSE
GF413Z 01 CA MEDICARE TYPE 1 PTAN EFFECT 6/27/2012
W15531 01 CA MEDICARE PTAN DEACTIVATED 6/26/2012
00A466730 01 CA BLUE SHIELD
GE519A 01 CA MEDICARE TYPE 2 PTAN EFFECT 6/27/2012
institution
Provider Business Practice Location Address Details
Address
1174 Amazon Way
City
State
Zip
93065-3156
Phone Number
805-527-5878
Fax Number
805-527-0114
person
Provider Business Mailing Address Details
Address
1174 Amazon Way
City
State
Zip
93065-3156
Phone Number
805-527-5878
Fax Number
805-527-0114
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A46673 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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