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General NPI Number Information
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NPI Number | 1740797331
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Entity Type | Individual
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Provider Name | EMILCE MIGDALIA KAJI DO
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Gender | Female
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 444 W GLENOAKS BLVD
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City | GLENDALE
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State | CA
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Zip | 91202-2917
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 444 W GLENOAKS BLVD
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City | GLENDALE
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State | CA
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Zip | 91202-2917
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Country | US
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Telephone | 853-574-2273
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Fax | 818-552-3011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.014250
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A18779
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License Number State | CA
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