Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A133305 | CA |
NPI | 1043552243 |
---|---|
Provider Name | Amy Lauren Cummings |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Torrance, CA 90505-6660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 14/05/2020 |