Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | G70108 | CA |
NPI | 1467486407 |
---|---|
Provider Name | Katherine Ohanlan |
First Address | Newport Beach, CA 92663-3509 |
Second Address | Portola Valley, CA 94028-7952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 27/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64511 | (02) | CA |