Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G080171 | CA |
NPI | 1144512443 |
---|---|
Provider Name | Naomi Aiso Nagasawa |
First Address | Newport Beach, CA 92660-6735 |
Second Address | Newport Beach, CA 92660-6735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2011 |
Last Update Date | 05/05/2011 |