Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 141380 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | A141380 | CA |
NPI | 1467870733 |
---|---|
Provider Name | Sara Lynn Haro |
First Address | Los Angeles, CA 90027-6062 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 01/07/2021 |