Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A75439 | CA |
NPI | 1023111598 |
---|---|
Provider Name | Kathleen Rose Savage |
First Address | Los Angeles, CA 90033-2424 |
Second Address | Los Angeles, CA 90033-2424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 16/07/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
GR0066390 & GR006639 | (05) | CA |
I22551 | (02) |