Individual
ELISA HSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9449 IMPERIAL HWY, SUITE 315, DOWNEY, CA 90242-2814
(562) 803-1347
Mailing address
9449 IMPERIAL HWY, SUITE 315, DOWNEY, CA 90242-2814
(562) 803-1347
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
48630
CO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A93324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53806271
—
CO
Enumeration date
07/03/2007
Last updated
03/14/2012
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