Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1255736302 |
---|---|
Provider Name | Dr. Elham Elahi |
First Address | Newport Beach, CA 92663-4026 |
Second Address | Newport Beach, CA 92663-4026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2014 |
Last Update Date | 31/10/2014 |