Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A124863 | CA |
NPI | 1275709040 |
---|---|
Provider Name | Dr. Behrad Aynehchi |
First Address | Culver City, CA 90232-2751 |
Second Address | Culver City, CA 90232-2751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 13/04/2015 |