Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A43778 | CA |
NPI | 1356353577 |
---|---|
Provider Name | Dr. Armando E. Giuliano |
First Address | West Hollywood, CA 90048-1804 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 25/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
954329345 | TAX ID # FOR OIMG (01) | CA |
A43778 | (02) | CA |
G28565 | STATE LICENSE # (01) | CA |