Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 95013887 | CA |
NPI | 1003448010 |
---|---|
Provider Name | Joy Go Legaspi |
First Address | Harbor City, CA 90710-2024 |
Second Address | Harbor City, CA 90710-2024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2020 |
Last Update Date | 01/03/2021 |