Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | G71637 | CA |
NPI | 1013097088 |
---|---|
Provider Name | Sabena Toor |
First Address | Los Angeles, CA 90048-6112 |
Second Address | Los Angeles, CA 90048-6112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G07958 | (02) |