Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 142196 | CA |
N | 208600000X | Surgeon | 142196 | CA |
Y | 2086X0206X | Surgical Oncologist | A142196 | CA |
NPI | 1124476080 |
---|---|
Provider Name | Emily Lynn Siegel |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2016 |
Last Update Date | 27/09/2021 |