Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A155026 | CA |
Y | 111NI0900X | Internist | A155026 | CA |
N | 207RR0500X | Rheumatology | A155026 | CA |
N | 2080P0216X | Pediatric Rheumatologist | A155026 | CA |
NPI | 1114284171 |
---|---|
Provider Name | Pauline Yi |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Santa Monica, CA 90404-1240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 25/06/2019 |