Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | G33210 | CA |
NPI | 1073605473 |
---|---|
Provider Name | Jerald Fredrick Sigala |
First Address | Orange, CA 92868-3854 |
Second Address | Newport Beach, CA 92663-3637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 28/12/2012 |