Individual
LAURA A MCENERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25775 MCBEAN PKWY STE 214, VALENCIA, CA 91355-3703
(661) 255-2420
(661) 259-0552
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122383
CA
207RG0100X
Gastroenterology Physician
Primary
A122383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113796
SID # 113796
CA
Enumeration date
01/25/2012
Last updated
07/21/2022
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