Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A98106 | CA |
Y | 2084N0402X | Child Neurologist | A98106 | CA |
NPI | 1235339656 |
---|---|
Provider Name | Minodora Ofelia Totoiu |
First Address | Orange, CA 92868-3835 |
Second Address | Orange, CA 92868-3835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 27/10/2010 |