Provider Demographics
NPI:1740797331
Name:KAJI, EMILCE MIGDALIA (DO)
Entity Type:Individual
Prefix:
First Name:EMILCE
Middle Name:MIGDALIA
Last Name:KAJI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:EMILCE
Other - Middle Name:MIGDALIA
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:444 W GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2917
Mailing Address - Country:US
Mailing Address - Phone:853-574-2273
Mailing Address - Fax:818-552-3011
Practice Address - Street 1:444 W GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2917
Practice Address - Country:US
Practice Address - Phone:833-574-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.014250207Q00000X
CA20A18779207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine