Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G86114 | CA |
NPI | 1013078229 |
---|---|
Provider Name | Tracy Uyentrang Nguyen-Oghalai |
First Address | Los Angeles, CA 90031-0309 |
Second Address | La Canada, CA 91011-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 03/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G32003 | (02) | TX |