Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 39345 | CA |
NPI | 1093857674 |
---|---|
Provider Name | Arman Torbati |
First Address | Los Angeles, CA 90025-1783 |
Second Address | Los Angeles, CA 90035-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 18/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V08846 | (02) | CA |