Healthcare Provider Details

I. General information

NPI: 1821559972
Provider Name (Legal Business Name): TORUNN E SIVESIND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13900 SEAL BEACH BLVD STE A
SEAL BEACH CA
90740-5301
US

IV. Provider business mailing address

13900 SEAL BEACH BLVD STE A
SEAL BEACH CA
90740-5301
US

V. Phone/Fax

Practice location:
  • Phone: 562-430-4294
  • Fax:
Mailing address:
  • Phone: 562-430-4294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number68126
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDR.0068947
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA205907
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberDR.0068947
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: