Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A48932 | CA |
NPI | 1033222708 |
---|---|
Provider Name | Dr. Dottie Ann Sazon |
First Address | National City, CA 91951-0088 |
Second Address | National City, CA 91950-2957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 06/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E71906 | (02) | |
WA48932F | PTAN (01) | CA |