Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G48063 | CA |
NPI | 1740345503 |
---|---|
Provider Name | David Julian Aroesty |
First Address | North Hollywood, CA 91602 |
Second Address | North Hollywood, CA 91602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9866618 | (05) | CA |
A92785 | (02) |