Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A80982 | CA |
Y | 208600000X | Surgeon | A80982 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A80982 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | A80982 | CA |
NPI | 1164614541 |
---|---|
Provider Name | Dr. Giliel Stefan Kryger |
First Address | Van Nuys, CA 91405-3796 |
Second Address | Van Nuys, CA 91405-3796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 28/12/2007 |