Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A117900 | CA |
N | 207W00000X | Ophthalmologist | N5775 | TX |
NPI | 1003056516 |
---|---|
Provider Name | Dr. Arbi Khemichian |
First Address | Pasadena, CA 91105-3020 |
Second Address | Torrance, CA 90503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2009 |
Last Update Date | 22/02/2017 |