Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 20A14105 | CA |
NPI | 1679703599 |
---|---|
Provider Name | Namrata Varma |
First Address | Long Beach, CA 90807-4507 |
Second Address | Long Beach, CA 90807-4507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 29/10/2015 |