Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | 36582 | NC |
NPI | 1245216365 |
---|---|
Provider Name | Dr. Joanne Louise Pizzino |
First Address | West Hollywood, CA 90069-4496 |
Second Address | West Hollywood, CA 90069-4496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 01/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2123786 | MAMSI (01) | NC |
68179 | BLUE CROSS BLUE SHIELD (01) | NC |
E23860 | (02) | NC |