Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A55664 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | A55664 | CA |
NPI | 1639145972 |
---|---|
Provider Name | Dr. Aninda Das |
First Address | Mission Hills, CA 91345-1225 |
Second Address | Mission Hills, CA 91345-1225 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 27/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G96319 | (02) | CA |