Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A133713 | CA |
NPI | 1013328343 |
---|---|
Provider Name | Gabriela Sauder |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Westlake Village, CA 91361-3764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 19/07/2019 |