Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | G074923 | CA |
NPI | 1184714453 |
---|---|
Provider Name | Dr. Katayoun Sabetian |
First Address | Bakersfield, CA 93301-3453 |
Second Address | Bakersfield, CA 93301-3453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2006 |
Last Update Date | 29/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G749230 | (05) | CA |
770434389 | TAX ID (01) | CA |
G30136 | (02) | CA |