Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A23980 | CA |
NPI | 1558461681 |
---|---|
Provider Name | Dr. Henry Bechara Bikhazi |
First Address | Newport Coast, CA 92657-1404 |
Second Address | Whittier, CA 90605-2138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 12/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A239800 | (05) | CA |
A23778 | (02) | CA |