Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35526 | CA |
Y | 225100000X | Physical Therapist | 35526 | CA |
NPI | 1033350178 |
---|---|
Provider Name | Truyen Dang Saxonberg |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Burbank, CA 91506-1757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2009 |
Last Update Date | 12/12/2019 |