Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | A62059 | CA |
NPI | 1770793853 |
---|---|
Provider Name | Munir M Uwaydah |
First Address | Santa Monica, CA 90405-4025 |
Second Address | San Fernando, CA 91340-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G78175 | (02) | CA |