Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G71867 | CA |
NPI | 1023039609 |
---|---|
Provider Name | Scott Strum |
First Address | Los Angeles, CA 90074-4701 |
Second Address | Loma Linda, CA 92354-3711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 02/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G718670 | (05) | CA |
F50225 | (02) |