Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A93414 | CA |
Y | 207YS0123X | Facial Plastic Surgeon | A93414 | CA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A93414 | CA |
N | 208200000X | Surgeon | A93414 | CA |
N | 208600000X | Surgeon | A93414 | CA |
NPI | 1386833069 |
---|---|
Provider Name | Dr. Ali Sepehr |
First Address | Irvine, CA 92618-3712 |
Second Address | Irvine, CA 92618-3712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2007 |
Last Update Date | 28/07/2011 |