Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | PTL1488 | CA |
NPI | 1023577988 |
---|---|
Provider Name | Joshua Alan Treloar |
First Address | Los Angeles, CA 90089-9007 |
Second Address | Los Angeles, CA 90089-9007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2019 |
Last Update Date | 21/09/2021 |