Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 20A17299 | CA |
NPI | 1184072506 |
---|---|
Provider Name | Sabrina Purshotam Sawlani |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90024-6990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 02/12/2020 |