Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A135853 | CA |
NPI | 1104185206 |
---|---|
Provider Name | Dr. Maria Mona Ahmad-Nabi |
First Address | Los Angeles, CA 90027-6021 |
Second Address | Los Angeles, CA 90027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2012 |
Last Update Date | 21/12/2021 |