OrganizationActive
Medical Support Los Angeles a Medical Corporation
NPI 1508380650 · Independent Medical Examiner Physician · Santa Rosa, CA
Provider details
- NPI number
- 1508380650
- Entity type
- Organization
- Primary specialty
- Independent Medical Examiner PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medical Support Los Angeles a Medical Corporation
- Authorized official
- Sahniah Siciarz-Lambert, Cfo
Mailing address
1294 E Colorado Blvd
Pasadena, CA 91106-1901
Registry dates
- Enumerated
- 2017-07-31
- Last updated
- 2017-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.