Provider Demographics
NPI:1396976270
Name:SISON, VEENA MARIE SEBASTIAN (MD)
Entity type:Individual
Prefix:
First Name:VEENA MARIE
Middle Name:SEBASTIAN
Last Name:SISON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3460 S CENTINELA AVE
Mailing Address - Street 2:APT 311
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1835
Mailing Address - Country:US
Mailing Address - Phone:201-699-9040
Mailing Address - Fax:
Practice Address - Street 1:5601 DE SOTO AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6701
Practice Address - Country:US
Practice Address - Phone:201-699-9040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2021-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1358682080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics