Provider Demographics
NPI:1851613939
Name:DR SINDU PILLAI MD INC
Entity Type:Organization
Organization Name:DR SINDU PILLAI MD INC
Other - Org Name:INLAND VALLEY PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SINDU
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-600-9093
Mailing Address - Street 1:24910 LAS BRISAS RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4010
Mailing Address - Country:US
Mailing Address - Phone:951-600-9093
Mailing Address - Fax:951-600-1132
Practice Address - Street 1:24910 LAS BRISAS RD
Practice Address - Street 2:SUITE 114
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4010
Practice Address - Country:US
Practice Address - Phone:951-600-9093
Practice Address - Fax:951-600-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66720174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A667200Medicaid