Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A78758 | CA |
NPI | 1659497824 |
---|---|
Provider Name | Dr. Behrooz A. Torkian |
First Address | Los Angeles, CA 90049-5012 |
Second Address | Los Angeles, CA 90049-5012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I32318 | (02) | CA |