Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A30818 | CA |
NPI | 1093794604 |
---|---|
Provider Name | Dr. Esrafil Abedi |
First Address | Laguna Hills, CA 92653-3616 |
Second Address | Laguna Hills, CA 92653-3616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 25/10/2010 |