Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A111902 | CA |
Y | 2080P0210X | Pediatric Nephrologist | A111902 | CA |
NPI | 1881856433 |
---|---|
Provider Name | Dr. Helen Phan Pizzo |
First Address | Torrance, CA 90504-5513 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 19/01/2022 |