Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A120158 | CA |
N | 111NI0900X | Internist | A120158 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A120158 | CA |
NPI | 1023335817 |
---|---|
Provider Name | Erene M Nawar |
First Address | Fullerton, CA 92835-3816 |
Second Address | Fullerton, CA 92835-3816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 09/11/2021 |