| Doctor Name: | DR. ETHEL DIJAMCO |
| NPI Number: | 1780750752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A48307 |
| Business Practice Address: | 6511 Van Nuys Blvd Van Nuys, CA - 914011425 |
| Business Phone Number: | 8189019090 |
| Business Fax Number: | 8189019347 |
| Mailing Address: | Po Box 10432, BEVERLY HILLS |
| State: | CA |
| Postal Code: | 902133432 |
| Phone Number: | 2136372530 |
| Fax Number: | 2133843373 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A48307 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |