Sontha, Praveen Kumar
Sontha, Praveen Kumar is an sole proprietor health care provider with primary practice located at 4059 Eagle Flight Dr , Simi Valley CA 93065-0224. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sontha, Praveen Kumar can be contacted via phone (805) 584-8147.Contact Information
Primary practice address
4059 Eagle Flight Dr
Simi Valley CA 93065-0224
Phone: (805) 584-8147
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12082 TPL | California |
Profile Details
| NPI number | 1134110703 |
|---|---|
| LBN Legal business name | Sontha, Praveen Kumar |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 2nd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134110703 | NPPES |
| California | Other | SD0120820 | PPIN NUMBER |
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