Individual
HEA IN CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
533 CANTOR, IRVINE, CA 92620-3842
(310) 259-4952
Mailing address
533 CANTOR, IRVINE, CA 92620-3842
(310) 259-4952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A103655
CA
Other
Enumeration date
08/15/2007
Last updated
12/22/2021
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