Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | G077695 | CA |
NPI | 1134184807 |
---|---|
Provider Name | Dr. George Allan Emerson |
First Address | Oxnard, CA 93030-3722 |
Second Address | Oxnard, CA 93030-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 08/07/2007 |