Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A101277 | CA |
N | 208600000X | Surgeon | A101277 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A101277 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | A101277 | CA |
NPI | 1235300641 |
---|---|
Provider Name | Dr. Ali M Soltani |
First Address | Irvine, CA 92618-3734 |
Second Address | Irvine, CA 92618-3734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 30/11/2021 |