Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 63670 | CA |
N | 122300000X | Dentist | DN1856195 | MA |
Y | 1223X0400X | Orthodontists | 63670 | CA |
NPI | 1023459856 |
---|---|
Provider Name | Dr. Arshan Haghi |
First Address | Los Angeles, CA 90015-1779 |
Second Address | Los Angeles, CA 90015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 07/09/2018 |