Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | A30620 | CA |
NPI | 1679502447 |
---|---|
Provider Name | Dr. Farzan Naeim-Meshkinpour |
First Address | Buena Park, CA 90622-5387 |
Second Address | La Palma, CA 90623-1722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A87424 | (02) | CA |