Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | ND-91 | CA |
Y | 175F00000X | Naturopath | NP-91 | CA |
NPI | 1114048998 |
---|---|
Provider Name | Dr. Dayna K Kowata |
First Address | Laguna Hills, CA 92653-5527 |
Second Address | Laguna Hills, CA 92653-5527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 05/06/2019 |