Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC 28688 | CA |
NPI | 1740371301 |
---|---|
Provider Name | Dr. Nayoung Eoh |
First Address | Hacienda Heights, CA 91745-4242 |
Second Address | Hacienda Heights, CA 91745-4242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 05/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V10193 | (02) | CA |