Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | MD15880 | RI |
N | 208000000X | Pediatrician | 264324 | MA |
N | 208000000X | Pediatrician | MT207363 | PA |
N | 2080P0204X | Pediatric Emergency Doctor | MD15880 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | XXXX | CA |
NPI | 1780098194 |
---|---|
Provider Name | Natasha Gill |
First Address | Los Angeles, CA 90027-6062 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2014 |
Last Update Date | 22/06/2020 |