Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A173681 | CA |
NPI | 1184044182 |
---|---|
Provider Name | Dr. Kimia Menhaji |
First Address | San Diego, CA 92123-3357 |
Second Address | San Diego, CA 92123-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2014 |
Last Update Date | 09/09/2021 |