Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | G42714 | CA |
NPI | 1740338631 |
---|---|
Provider Name | Philame S. Oronan |
First Address | San Diego, CA 92120-2507 |
Second Address | El Centro, CA 92243-4306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/12/2021 |