Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G86035 | CA |
N | 111NI0900X | Internist | G86035 | CA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | G86035 | CA |
NPI | 1023033115 |
---|---|
Provider Name | Dr. Thomas Najarian |
First Address | Los Osos, CA 93402-4323 |
Second Address | Los Osos, CA 93402-4007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |