Provider Information for 1578696894
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOSHUA MICHAEL SISKIN
Sex: Male
NPI: 1578696894
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1578696894 | ||||||||
| Enumeration Date | 2007-03-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4458 TYRONE AVE SHERMAN OAKS, CA 91423-2627 United States Phone: 818-783-7483 | Fax: | ||||||||
| Primary Practice Address | 14640 VICTORY BLVD #100 VAN NUYS, CA 91411-1623 United States Phone: 818-374-6901 | Fax:818-374-6908 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|