Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A39988 | CA |
NPI | 1194926899 |
---|---|
Provider Name | Mehrangiz Cadry |
First Address | Los Angeles, CA 90011-5527 |
Second Address | Los Angeles, CA 90011-5527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 04/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1194926899 | (02) | CA |
1194926899 | (05) | CA |