Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | A61184 | CA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A61184 | CA |
NPI | 1134188295 |
---|---|
Provider Name | Daryoush David Saadat |
First Address | Valencia, CA 91355 |
Second Address | Valencia, CA 91355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H35782 | (02) |