Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A14629 | CA |
Y | 207PP0204X | Pediatric Emergency Physician | 20A14629 | CA |
NPI | 1144649211 |
---|---|
Provider Name | Karli Parlette |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354-2804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 18/09/2019 |