Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A97145 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD60133790 | WA |
NPI | 1316163744 |
---|---|
Provider Name | Amirhesam Ehsan |
First Address | Los Angeles, CA 90027-6063 |
Second Address | Los Angeles, CA 90027-6063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 01/12/2021 |