Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A98270 | CA |
N | 207VX0000X | Obstetrician | 236176 | NY |
NPI | 1255352852 |
---|---|
Provider Name | Dr. Mia Je Naee Sanders |
First Address | Torrance, CA 90503-5970 |
Second Address | Torrance, CA 90503-4355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 19/04/2021 |