Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A44525 | CA |
NPI | 1063453769 |
---|---|
Provider Name | Dr. Yehuda Handelsman |
First Address | Tarzana, CA 91356-3508 |
Second Address | Tarzana, CA 91356-3508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 21/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E51976 | (02) | CA |