Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | A25858 | CA |
NPI | 1013018514 |
---|---|
Provider Name | Dr. Esther Abarcar Fermin |
First Address | Victorville, CA 92395-3737 |
Second Address | Victorville, CA 92395-3737 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 12/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A258580 | (05) | CA |
111134084 | RR MEDICARE (01) | |
A86985 | (02) |