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General NPI Number Information
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NPI Number | 1154421063
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Entity Type | Individual
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Provider Name | SULOCHANA TRIVEDI M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 16453 COLORADO AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-5011
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Country | US
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Telephone | 562-531-3110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7630
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92607-7630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | A26265
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A26265
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | A26265
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License Number State | CA
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