Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E 4838 | CA |
NPI | 1104027630 |
---|---|
Provider Name | Dr. Amir Lebaschi |
First Address | Santa Ana, CA 92701-4459 |
Second Address | Santa Ana, CA 92701-4459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 17/03/2020 |