Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | C38752 | CA |
NPI | 1699829762 |
---|---|
Provider Name | Dr. Baldev Krishan Devgan |
First Address | Los Angeles, CA 90066-5917 |
Second Address | Los Angeles, CA 90066-5917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |