Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 43126 | CA |
NPI | 1134294887 |
---|---|
Provider Name | Dr. Behnaz Cheikh |
First Address | Encinitas, CA 92024-5141 |
Second Address | Encinitas, CA 92024-5141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 17/09/2010 |