Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A94290 | CA |
NPI | 1013003672 |
---|---|
Provider Name | Dr. Pablo Pazmino |
First Address | Santa Monica, CA 90403-4743 |
Second Address | Santa Monica, CA 90403-4743 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 21/02/2014 |