Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A100262 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A100262 | CA |
NPI | 1033360771 |
---|---|
Provider Name | Dr. Satiro Nakamura De Oliveira |
First Address | West Hollywood, CA 90048-3854 |
Second Address | Los Angeles, CA 90045-5631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2008 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A1002620 | (05) | CA |