Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | A77236 | CA |
N | 207RC0200X | Critical Care Medicine | A77236 | CA |
Y | 207RP1001X | Pulmonary Disease | A77236 | CA |
N | 207RS0012X | Sleep Medicine | A77236 | CA |
NPI | 1073684056 |
---|---|
Provider Name | Dr. Ashraf Elsayegh |
First Address | Los Angeles, CA 90067-2008 |
Second Address | Los Angeles, CA 90067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I32187 | (02) | CA |