Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G16795 | CA |
NPI | 1154345494 |
---|---|
Provider Name | David Seltzer |
First Address | Solvang, CA 93464-0564 |
Second Address | Solvang, CA 93463-2266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 27/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A39910 | (02) | CA |