Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 241425 | NY |
N | 207X00000X | Orthopaedic Surgeon | 42445 | KY |
Y | 207X00000X | Orthopaedic Surgeon | A109393 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | 42445 | KY |
N | 207XS0117X | Orthopaedic Spine Surgeon | A109393 | CA |
NPI | 1063616712 |
---|---|
Provider Name | Jennifer Kaur Rodriguez Sohal |
First Address | Los Angeles, CA 90057-2282 |
Second Address | Los Angeles, CA 90057-2282 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 01/10/2011 |