Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | G44208 | CA |
NPI | 1023208154 |
---|---|
Provider Name | Donald S. Furman |
First Address | Cerritos, CA 90703-9329 |
Second Address | Cerritos, CA 90703-9329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 25/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G44208 | MEDICAL LICENSE (01) | CA |