Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DRG-01003091 | CA |
NPI | 1831728831 |
---|---|
Provider Name | Dr. Safedin Beqaj |
First Address | Irvine, CA 92620-2143 |
Second Address | Garden Grove, CA 92841-4165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2020 |
Last Update Date | 29/07/2020 |