Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A74127 | CA |
NPI | 1225087182 |
---|---|
Provider Name | Dr. Andrea Dunkelman |
First Address | Santa Ana, CA 92705-3502 |
Second Address | Santa Ana, CA 92705-3502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 16/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21908 | (02) | CA |