Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A56226 | CA |
NPI | 1043238371 |
---|---|
Provider Name | Dr. Kanwal K Nayyar |
First Address | Mission Hills, CA 91345-1204 |
Second Address | Mission Hills, CA 91345-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A562260 | MEDICAL (01) | CA |
W15677 | (02) | CA |