Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E3946 | CA |
NPI | 1083752281 |
---|---|
Provider Name | Dr. John Joseph Vohaska |
First Address | Beverly Hills, CA 90212-3807 |
Second Address | Marina Del Rey, CA 90292-5423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 08/07/2007 |