Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A30015 | CA |
NPI | 1396727889 |
---|---|
Provider Name | Lalitha Ramanna |
First Address | Pasadena, CA 91185-1552 |
Second Address | Torrance, CA 90503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 25/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A300150 | (05) | CA |
00A300150 | BS (01) | CA |
A25940 | (02) |