Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | CA |
NPI | 1205918778 |
---|---|
Provider Name | Diane Marie Yamamoto Skowron |
First Address | Los Angeles, CA 90027-5209 |
Second Address | Los Angeles, CA 90028-7422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 02/05/2019 |