Provider Demographics
NPI:1366988834
Name:KANTARCI, SIBEL (PHD, FACMG)
Entity type:Individual
Prefix:
First Name:SIBEL
Middle Name:
Last Name:KANTARCI
Suffix:
Gender:F
Credentials:PHD, FACMG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 VETERAN AVENUE, WEST MEDICAL BUILDING, ROOM 2212E
Mailing Address - Street 2:UCLA CLINICAL AND MOLECULAR CYTOGENETICS LABORATORY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-825-4965
Mailing Address - Fax:310-794-5099
Practice Address - Street 1:1010 VETERAN AVENUE, WEST MEDICAL BUILDING
Practice Address - Street 2:UCLA CLINICAL AND MOLECULAR CYTOGENETICS LABORATORY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-825-4965
Practice Address - Fax:310-794-5099
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTP00000395207SM0001X, 207SC0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SM0001XAllopathic & Osteopathic PhysiciansMedical GeneticsMolecular Genetic Pathology
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics