Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A035627 | CA |
NPI | 1023069655 |
---|---|
Provider Name | Dr. Lilia Santos Tan Figueroa |
First Address | Sacramento, CA 95814-6414 |
Second Address | Costa Mesa, CA 92626-6143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A27852 | (02) | |
BT3064576 | DEA (01) |