Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A70334 | CA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | A70334 | CA |
NPI | 1023125804 |
---|---|
Provider Name | Ms. Anna B Pawlowska |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Duarte, CA 91010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 28/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A703340 | (05) | CA |
G74033 | (02) |