Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | G55983 | CA |
NPI | 1467404038 |
---|---|
Provider Name | Dr. Rhonda Jan Myers |
First Address | Irvine, CA 92604-3305 |
Second Address | Irvine, CA 92604-3305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40554 | (02) | CA |