Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT34458-TLG | CA |
NPI | 1003456112 |
---|---|
Provider Name | Dr. Negar Dolatshahi Pirooz |
First Address | Walnut Creek, CA 94598-4109 |
Second Address | Walnut Creek, CA 94598-2419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2020 |
Last Update Date | 17/01/2022 |