Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A41144 | CA |
NPI | 1043384084 |
---|---|
Provider Name | Julia Sladek |
First Address | Beverly Hills, CA 90211-2007 |
Second Address | Beverly Hills, CA 90211-2007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 26/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A411440 | (05) | CA |