Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 57540 | CA |
NPI | 1104962190 |
---|---|
Provider Name | Dr. Arshiya Sharafi |
First Address | San Diego, CA 92121-1423 |
Second Address | San Diego, CA 92121-3811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 20/04/2015 |