Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A92844 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A92844 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A92844 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A92844 | CA |
NPI | 1417053760 |
---|---|
Provider Name | Sarmela Sunder |
First Address | Lancaster, CA 93534-4936 |
Second Address | Lancaster, CA 93534-4848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 04/11/2010 |