Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G64776 | CA |
Y | 208600000X | Surgeon | G64776 | CA |
N | 2082S0105X | Plastic Hand Surgeon | G64776 | CA |
NPI | 1033225388 |
---|---|
Provider Name | Dr. Homayoun Attaran |
First Address | Danville, CA 94526-8084 |
Second Address | Danville, CA 94526-4050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 16/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G64380 | (02) | CA |