Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 20A 11162 | CA |
Y | 208600000X | Surgeon | 20A 11162 | CA |
N | 2086S0127X | Trauma Surgeon | 20A11162 | CA |
N | 2086X0206X | Surgical Oncologist | 20A11162 | CA |
N | 208C00000X | Colorectal Surgeon | 20A11162 | CA |
NPI | 1326364373 |
---|---|
Provider Name | Dr. Nojan Toomari |
First Address | Encino, CA 91416-6343 |
Second Address | Encino, CA 91436-1961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 16/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1467940 | (05) | CA |
CB220530 | (02) | CA |