Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A79358 | CA |
NPI | 1598807455 |
---|---|
Provider Name | Dr. Sharon E. Moayeri |
First Address | Newport Beach, CA 92660-7720 |
Second Address | Newport Beach, CA 92660-7720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2007 |
Last Update Date | 22/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21355 | (02) | CA |