Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | A39516 | CA |
NPI | 1184675001 |
---|---|
Provider Name | Dr. Helen Mawhinney |
First Address | Oak Park, CA 91377-1151 |
Second Address | Santa Monica, CA 90404-1235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A395160 | MEDICAL PPIN NUMBER (01) | CA |
E01631 | (02) | CA |