Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | G76827 | CA |
Y | 207RH0003X | Hematology & Oncology | G76827 | CA |
NPI | 1275578957 |
---|---|
Provider Name | Dr. Ann Mohrbacher |
First Address | Los Angeles, CA 90031-1309 |
Second Address | Los Angeles, CA 90089-0112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 07/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E54940 | (02) | CA |