Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G72876 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | G72876 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G72876 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | G72876 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G72876 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G72876 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | G72876 | CA |
NPI | 1548288194 |
---|---|
Provider Name | Dr. James Kayvanfar |
First Address | Newhall, CA 91321-2924 |
Second Address | Newhall, CA 91321-2924 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 06/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G728760 | (05) | CA |
F75236 | (02) | CA |