Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A122929 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A122929 | CA |
NPI | 1265783039 |
---|---|
Provider Name | Dr. Sara Regina Kreimer |
First Address | Walnut, CA 91789-3842 |
Second Address | Los Angeles, CA 90033-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2012 |
Last Update Date | 18/09/2019 |