Doctor Name: | DR. ULIN SARGEANT |
NPI Number: | 1992878151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D., MPH |
License Number: | A97256 |
Business Practice Address: | 1227 Buena Vista St Suite #f Duarte, CA - 910102486 |
Business Phone Number: | 8772544496 |
Business Fax Number: | 8772544496 |
Mailing Address: | Po Box 2063, MONROVIA |
State: | CA |
Postal Code: | 910176063 |
Phone Number: | 8772544496 |
Fax Number: | 8772544496 |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A97256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |