Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A120548 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A120548 | CA |
NPI | 1134494305 |
---|---|
Provider Name | Dr. Banafsheh Noosha Kashani |
First Address | Long Beach, CA 90807-5409 |
Second Address | Newport Beach, CA 92660-1534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 04/11/2019 |