Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 48106 | AZ |
Y | 207K00000X | Allergist & Immunologist | A102269 | CA |
NPI | 1205006657 |
---|---|
Provider Name | Natalie Cac |
First Address | Woodland Hills, CA 91367-6701 |
Second Address | Woodland Hills, CA 91367-6701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2008 |
Last Update Date | 29/11/2021 |