Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G36622 | CA |
N | 111NI0900X | Internist | G36622 | CA |
N | 207RN0300X | Nephrologist | G36622 | CA |
NPI | 1013932318 |
---|---|
Provider Name | Dr. Robert J Parmer |
First Address | La Jolla, CA 92093-5004 |
Second Address | La Jolla, CA 92093-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G366220 | (05) | CA |
A91800 | (02) | CA |