Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | A119239 | CA |
NPI | 1174849186 |
---|---|
Provider Name | Dr. Sunita Puri |
First Address | Los Angeles, CA 90031-0301 |
Second Address | Los Angeles, CA 90033-5312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 11/11/2020 |