Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | A148136 | CA |
NPI | 1053739961 |
---|---|
Provider Name | Ashlyn Sakona |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2014 |
Last Update Date | 04/06/2020 |