Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | G74010 | CA |
NPI | 1053347518 |
---|---|
Provider Name | Karen Eileen Mcveigh |
First Address | Van Nuys, CA 91405-4542 |
Second Address | Van Nuys, CA 91405-4542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G740100 | (05) | CA |
G49085 | (02) | CA |