Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A56108 | CA |
N | 208000000X | Pediatrician | K8127 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | A56108 | CA |
N | 2080P0205X | Pediatric Endocrinologist | K8127 | TX |
NPI | 1013098177 |
---|---|
Provider Name | Dr. Daina Dreimane |
First Address | Orange, CA 92868-4203 |
Second Address | Orange, CA 92868-4203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 26/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A561080 | (05) | CA |
00A561080 L60 | CAL OPTIMA (01) | CA |