Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | C28868 | CA |
NPI | 1588660740 |
---|---|
Provider Name | Ned J Whitcomb |
First Address | Carmichael, CA 95608-2955 |
Second Address | Carmichael, CA 95608-2955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A33770 | (02) | CA |