Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A109351 | CA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A109351 | CA |
NPI | 1073787883 |
---|---|
Provider Name | Dr. Adeel Husain |
First Address | Corona, CA 92878-2132 |
Second Address | Fontana, CA 92335-6720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 01/12/2021 |