Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | C148541 | CA |
NPI | 1417012535 |
---|---|
Provider Name | Dr. Diana Elana Chavkin |
First Address | Pacific Palisades, CA 90272-4603 |
Second Address | Los Angeles, CA 90064-1525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2006 |
Last Update Date | 02/11/2017 |