Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A101494 | CA |
NPI | 1003068321 |
---|---|
Provider Name | Dr. Reebu Kohli |
First Address | Sylmar, CA 91342 |
Second Address | Sylmar, CA 91342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2008 |
Last Update Date | 17/10/2008 |