Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A81425 | CA |
NPI | 1306820071 |
---|---|
Provider Name | Dr. Pablito Garcia Nagpala |
First Address | Long Beach, CA 90806-1651 |
Second Address | Long Beach, CA 90806-1651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A814250 | (05) | CA |
146863 | (02) | CA |
GR0100650 | (05) | CA |