Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A135253 | CA |
Y | 207RP1001X | Pulmonary Disease | A135253 | CA |
NPI | 1053643700 |
---|---|
Provider Name | Dr. Mohamed Elnaggar |
First Address | Long Beach, CA 90807-4026 |
Second Address | Long Beach, CA 90807-4026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2010 |
Last Update Date | 20/07/2015 |