Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A120903 | CA |
Y | 111NI0900X | Internist | A120903 | CA |
NPI | 1003174053 |
---|---|
Provider Name | Valerie Zamudio |
First Address | Los Angeles, CA 90033 |
Second Address | Los Angeles, CA 90033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 25/10/2021 |