Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A115959 | CA |
N | 208D00000X | General Practice Physician | A115959 | CA |
NPI | 1578709440 |
---|---|
Provider Name | Luis Carlos Natali |
First Address | Los Angeles, CA 90048-5201 |
Second Address | Los Angeles, CA 90048-5201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2008 |
Last Update Date | 04/09/2012 |