Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | E4974 | CA |
N | 213ES0103X | Foot & Ankle Surgery | E4974 | CA |
NPI | 1154693281 |
---|---|
Provider Name | Leonora Fihman |
First Address | Encino, CA 91316-5200 |
Second Address | Encino, CA 91316-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2012 |
Last Update Date | 31/05/2012 |