Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | RPS2012568 | CA |
NPI | 1225408099 |
---|---|
Provider Name | Dr. Marian Ehrich Oppenheimer |
First Address | Santa Monica, CA 90401-2887 |
Second Address | Los Angeles, CA 90035-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 05/10/2015 |