Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A162793 | CA |
NPI | 1295179570 |
---|---|
Provider Name | Ari Joseph Hyman |
First Address | Encino, CA 91436-2134 |
Second Address | Encino, CA 91436-2134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 29/12/2020 |