Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A76788 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | A76788 | CA |
NPI | 1013015445 |
---|---|
Provider Name | Dr. Adriana Herrera Tremoulet |
First Address | San Diego, CA 92123-4802 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 14/10/2011 |