Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | G84241 | CA |
Y | 208600000X | Surgeon | G84241 | CA |
N | 2082S0105X | Plastic Hand Surgeon | G84241 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | G84241 | CA |
NPI | 1316990294 |
---|---|
Provider Name | Dr. Semira Bayati |
First Address | Newport Beach, CA 92660-1777 |
Second Address | Newport Beach, CA 92660-1777 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 30/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H01892 | (02) | CA |