Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 44902 | CA |
NPI | 1033265368 |
---|---|
Provider Name | Dr. Mana Jamali |
First Address | San Francisco, CA 94123-4114 |
Second Address | San Francisco, CA 94123-4114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2007 |
Last Update Date | 08/07/2007 |