Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | CO38887 | CA |
NPI | 1437592045 |
---|---|
Provider Name | Paul M Straub |
First Address | Torrance, CA 90505-3725 |
Second Address | Torrance, CA 90505-3725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2013 |
Last Update Date | 12/04/2013 |