Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 9018 | CA |
NPI | 1245415876 |
---|---|
Provider Name | Mr. Lang Dinh Do |
First Address | Lakewood, CA 90712-1234 |
Second Address | Lakewood, CA 90712-1234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 02/01/2008 |