Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A84887 | CA |
NPI | 1053529990 |
---|---|
Provider Name | Dr. Katy Setoodeh |
First Address | Los Angeles, CA 90049-8896 |
Second Address | Santa Monica, CA 90404-2303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 19/04/2021 |