Provider / Organization | NPI | Date Certified |
---|---|---|
VIVEK KOMMINENI | 1366025975 | 2021-05-11 |
Vivek Kommineni is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366025975. Registration indicates Vivek Kommineni is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Vivek Kommineni |
Practice Office Address | 11301 WILSHIRE BLVD LOS ANGELES, CA US |
Practice Office Telephone | 3104783711 |
Mailing Address | 200 UCLA MEDICAL PLZ STE 526 LOS ANGELES, CA 900958344 US |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |