Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 42603 | CA |
NPI | 1841431566 |
---|---|
Provider Name | Dr. Mohammad Hassan Sadeghi |
First Address | Aptos, CA 95003-5725 |
Second Address | Aptos, CA 95003-5725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2009 |
Last Update Date | 17/05/2013 |