Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 266488 | CA |
NPI | 1003037466 |
---|---|
Provider Name | Prof. Antoinette Zaragoza |
First Address | Los Angeles, CA 90022-0000 |
Second Address | Los Angeles, CA 90022-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 04/04/2014 |