Provider Demographics
NPI:1316081904
Name:SETHI, SONYA KIRAN (MD)
Entity type:Individual
Prefix:DR
First Name:SONYA
Middle Name:KIRAN
Last Name:SETHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11633 SAN VICENTE BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-6513
Mailing Address - Country:US
Mailing Address - Phone:310-826-5513
Mailing Address - Fax:310-820-1606
Practice Address - Street 1:11633 SAN VICENTE BLVD STE 312
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-6514
Practice Address - Country:US
Practice Address - Phone:102-078-2003
Practice Address - Fax:310-207-4174
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74996208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics