Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 101288 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | 1154663417 | WA |
NPI | 1154663417 |
---|---|
Provider Name | Dr. Sapna Lohiya |
First Address | Hermosa Beach, CA 90254-4024 |
Second Address | Hermosa Beach, CA 90254-4024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 15/09/2017 |