Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A123189 | CA |
NPI | 1083933766 |
---|---|
Provider Name | Ma Mon Mon Aung |
First Address | Lancaster, CA 93534-2801 |
Second Address | Lancaster, CA 93534-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 04/11/2021 |