Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | G71737 | CA |
N | 207V00000X | Obstetrician & Gynecologist | G71737 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G71737 | CA |
NPI | 1770618589 |
---|---|
Provider Name | Linda S Cowan |
First Address | Los Angeles, CA 90017-1800 |
Second Address | Los Angeles, CA 90017-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 27/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G717370 | (05) | CA |