Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G60299 | CA |
NPI | 1023065570 |
---|---|
Provider Name | Dr. Deirdre Allison Habermehl |
First Address | Huntington Beach, CA 92648-1707 |
Second Address | Huntington Beach, CA 92648-1707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 21/02/2017 |