Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | RN | CA |
NPI | 1184903700 |
---|---|
Provider Name | Mrs. Megumi Takeda Morgia |
First Address | Irvine, CA 92604-8619 |
Second Address | Irvine, CA 92604-8619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2011 |
Last Update Date | 13/08/2011 |