Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | A51849 | CA |
NPI | 1659477958 |
---|---|
Provider Name | Dr. Ora Yadin |
First Address | Los Angeles, CA 90095 |
Second Address | Los Angeles, CA 90095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 29/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A518490 | (05) | CA |
F55839 | (02) | CA |
GR0053510 | (05) | CA |