Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 27469 | CA |
N | 111NX0100X | Occupational Health | 263052157 | CA |
NPI | 1386725158 |
---|---|
Provider Name | Dr. Renee A. Kohanim |
First Address | Paramount, CA 90723 |
Second Address | Paramount, CA 90723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 17/03/2018 |