Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 20A11733 | CA |
NPI | 1063642312 |
---|---|
Provider Name | Rhett Papa |
First Address | El Cajon, CA 92020-3315 |
Second Address | El Cajon, CA 92020-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 25/03/2016 |