Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A97252 | CA |
NPI | 1023253473 |
---|---|
Provider Name | Sara Y Gaspard |
First Address | Pasadena, CA 91105-2613 |
Second Address | Pasadena, CA 91105-2613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2008 |
Last Update Date | 26/09/2011 |