Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 20A11041 | CA |
NPI | 1003144718 |
---|---|
Provider Name | Dr. Marisa Danbee Oh |
First Address | Arcadia, CA 91007-7769 |
Second Address | Los Angeles, CA 90089-0121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2009 |
Last Update Date | 04/11/2021 |