=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699069203
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SEEMA VARGHESE CALIP M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2011
-----------------------------------------------------
Last Update Date | 07/13/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9777 WILSHIRE BLVD STE 707
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-276-4003
-----------------------------------------------------
Fax | 310-276-4073
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9777 WILSHIRE BLVD STE 707
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90212-1907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-276-4003
-----------------------------------------------------
Fax | 310-276-4073
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 4301098507
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------