Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | A30427 | CA |
NPI | 1356568752 |
---|---|
Provider Name | Dr. Erlinda Dy Grey |
First Address | Panorama City, CA 91402-4810 |
Second Address | Panorama City, CA 91402-4810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 19/03/2014 |