Patient | Taya Faber | Preferred Language | Unspecified |
Date of birth | January 19, 1979 | Sex | Female |
Race | Unspecified
|
Ethnicity | Unspecified |
Contact info | Primary Home:
4623 Maubert Ave Los Angeles, CA 90027, US Tel (Mobile): +1(206)-422-5594 Mail: tayafaber@gmail.com |
Patient IDs | 523809 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
2327 2.16.840.1.113883.3.3710.3 Ellkay 2.16.840.1.113883.3.3710.200.501 2327 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-753598253 2.16.840.1.113883.3.3710.0 |
Document Created: | April 6, 2024, 16:21:20 +0000 |
Author | Diana Tagaban, Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Encounter Id | |||
Encounter Date | From , to , | ||
Encounter Participant | |||
Contact info |
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Legal authenticator | Diana Tagaban signed at April 6, 2024, 16:21:20 +0000 |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Document maintained by | Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |