Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 249274 | CA |
NPI | 1013220128 |
---|---|
Provider Name | Dr. Bijan Navidi |
First Address | Los Angeles, CA 90095-6790 |
Second Address | Los Angeles, CA 90095-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2010 |
Last Update Date | 11/05/2020 |