Swamynathan, Kala

Swamynathan, Kala is an individual health care provider with primary practice located at 1805 N California St Auite 101, Stockton CA 95204-6037. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Swamynathan, Kala can be contacted via phone (209) 948-5515.

Contact Information

Primary practice address
1805 N California St Auite 101 Stockton CA 95204-6037
Fax: (209) 948-9321
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A63877 California

Profile Details

NPI number 1427029768
LBN Legal business name Swamynathan, Kala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 31st, 2008 - about 16 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 1427029768 NPPES
California MEDICAID 00A638771

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