Basic Information
Provider Information
NPI: 1699069203
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALIP
FirstName: SEEMA
MiddleName: VARGHESE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9777 WILSHIRE BLVD STE 707
Address2:  
City: BEVERLY HILLS
State: CA
PostalCode: 902121907
CountryCode: US
TelephoneNumber: 3102764003
FaxNumber: 3102764073
Practice Location
Address1: 9777 WILSHIRE BLVD STE 707
Address2:  
City: BEVERLY HILLS
State: CA
PostalCode: 90212
CountryCode: US
TelephoneNumber: 3102764003
FaxNumber: 3102764073
Other Information
ProviderEnumerationDate: 06/01/2011
LastUpdateDate: 07/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X4301098507MIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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