Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 20A7892 | CA |
N | 207YS0123X | Facial Plastic Surgeon | 20A7892 | CA |
NPI | 1093863722 |
---|---|
Provider Name | Dr. Avrum Aaron Kaufman |
First Address | Ladera Ranch, CA 92694-1152 |
Second Address | Ladera Ranch, CA 92694-1152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 05/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20A7892 | STATE LICENSE (01) | CA |