Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | G43295 | CA |
NPI | 1922074954 |
---|---|
Provider Name | Joan Frances Wright |
First Address | Los Angeles, CA 90007-2629 |
Second Address | Los Angeles, CA 90007-2629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 21/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G43295 | (05) | CA |
F12118 | (02) |