Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E4400 | CA |
Y | 222Z00000X | Podiatrist | E4400 | CA |
N | 213EP1101X | Primary Podiatric Medicine | E4400 | CA |
N | 2081S0010X | Sports Medicine | E4400 | CA |
N | 213ES0000X | Sports Medicine | E4400 | CA |
N | 213ES0103X | Foot & Ankle Surgery | E4400 | CA |
N | 213ES0131X | Foot Surgery | E4400 | CA |
NPI | 1497770432 |
---|---|
Provider Name | Dr. Albert A Nejat |
First Address | Culver City, CA 90232-6807 |
Second Address | Culver City, CA 90232-6807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 09/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U74842 | (02) | CA |