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T SRI MD A PROFESSIONAL CORP NPI 1568687317


NPI Information

NPI: 1568687317
Provider Name: T SRI MD A PROFESSIONAL CORP
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 05D0895062

Address:
9278 N LOOP BLVD
CALIFORNIA CITY, CA
ZIP 93505
Phone: (760) 373-4809
Get Directions

T SRI MD A PROFESSIONAL CORP is a legal medicine in California City, CA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. T SRI MD A PROFESSIONAL CORP NPI is 1568687317. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9278 N LOOP BLVD
CALIFORNIA CITY, CA
ZIP 93505-236
Phone: (760) 373-4809

The provider's authorized official is Thillaiampalam Srijaerajah .
The authorized official title is President and has the following contact phone number (760) 373-4809.

The CLIA number assigned to this NPI record is 05D0895062 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 10/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineA33938CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0064520MEDICAIDCALIFORNIA
2GR0064251MEDICAIDCALIFORNIA
3W13186MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4A84542MEDICARE UPINCALIFORNIA
5ZZZ00164ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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