Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | A69933 | CA |
NPI | 1346228103 |
---|---|
Provider Name | Dr. Claudia Mikail |
First Address | Woodland Hills, CA 91364-1415 |
Second Address | Woodland Hills, CA 91364-1415 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A699330 | (05) | CA |