Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C31603 | CA |
N | 208200000X | Surgeon | C31603 | CA |
N | 208600000X | Surgeon | C31603 | CA |
NPI | 1043386030 |
---|---|
Provider Name | Pierre Francis Giammanco |
First Address | La Mirada, CA 90638-5824 |
Second Address | Anaheim, CA 92805-4345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 03/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B44022 | (02) | CA |