Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 27293 | CA |
NPI | 1336461417 |
---|---|
Provider Name | Janice Patricia Handlers |
First Address | Los Angeles, CA 90064-1524 |
Second Address | Los Angeles, CA 90064-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2010 |
Last Update Date | 17/02/2010 |