Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A 72414 | CA |
NPI | 1518184589 |
---|---|
Provider Name | Dr. Tudor Marinescu |
First Address | Santa Monica, CA 90405-1718 |
Second Address | Santa Monica, CA 90405-1718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |