Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A41243 | CA |
NPI | 1033183157 |
---|---|
Provider Name | Ali M Aghamohammadi |
First Address | Bakersfield, CA 93301-3453 |
Second Address | Bakersfield, CA 93301-3453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 03/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A412431 | (05) | CA |
E33834 | (02) | CA |