Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A135279 | CA |
NPI | 1336466804 |
---|---|
Provider Name | Dr. Kristen Rose Uquillas |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90015-3068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 14/09/2020 |