Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G43481 | CA |
Y | 2080P0208X | Pediatric Infectious Diseases | G43481 | CA |
NPI | 1316172901 |
---|---|
Provider Name | Dr. Joel I Ward |
First Address | Torrance, CA 90505-6319 |
Second Address | Torrance, CA 90502-2004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 26/05/2009 |