Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A123843 | CA |
NPI | 1083054670 |
---|---|
Provider Name | Emmanuelle Remorca Tiongson |
First Address | Los Angeles, CA 90027 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 02/08/2017 |