Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A104463 | CA |
NPI | 1073757902 |
---|---|
Provider Name | Dr. Aaron R. Cutler |
First Address | Pomona, CA 91767-1923 |
Second Address | Pomona, CA 91767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 29/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CA123795 | MEDICARE PTAN NO. (01) | CA |
CB216289 | MEDICARE PTAN SO. (01) | CA |
W18858 | MEDICARE SOUTH GROUP (01) | CA |
ZZZ07226Z | MEDICARE NORTH GROUP (01) | CA |