Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A113834 | CA |
NPI | 1013222066 |
---|---|
Provider Name | Dr. Afshin Arianjam |
First Address | Pomona, CA 91767-2921 |
Second Address | Pomona, CA 91767-2921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2010 |
Last Update Date | 07/01/2019 |