Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A133634 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60838509 | WA |
NPI | 1164866935 |
---|---|
Provider Name | Arash Calafi |
First Address | Oceanside, CA 92056-4405 |
Second Address | Carlsbad, CA 92011-1161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 08/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164866935 | (05) | WA |