Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A65755 | CA |
N | 207KA0200X | Allergist | A65755 | CA |
NPI | 1235247966 |
---|---|
Provider Name | Dr. Lananh Thi Do |
First Address | Los Angeles, CA 90064-1538 |
Second Address | Los Angeles, CA 90064-1538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 05/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H22742 | (02) | CA |