Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | A102319 | CA |
NPI | 1154599546 |
---|---|
Provider Name | Dr. Roy Daniel Ayalon |
First Address | Tarzana, CA 91356-3156 |
Second Address | Tarzana, CA 91356-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 14/03/2013 |