Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 10316 | NV |
N | 111NI0900X | Internist | 10316 | NV |
Y | 207RH0003X | Hematology & Oncology | C153805 | CA |
N | 207RX0202X | Medical Oncology | 43195 | AZ |
NPI | 1063470391 |
---|---|
Provider Name | Rufina Pamela Mae Tuyac Miel |
First Address | Cerritos, CA 90703-2671 |
Second Address | Fountain Valley, CA 92708-7511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002018799 | (05) | NV |
110245881 | RAILROAD MEDICARE (01) | NV |
520064 | (05) | AZ |
H74353 | (02) | NV |
Z143025 | MEDICARE (01) | AZ |