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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134110703 NPPES
California Other SD0120820 PPIN NUMBER

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