Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A40489 | CA |
N | 208600000X | Surgeon | A40489 | CA |
Y | 2082S0105X | Plastic Hand Surgeon | A40489 | CA |
NPI | 1952590739 |
---|---|
Provider Name | Dr. William Aiello |
First Address | Los Alamitos, CA 90720-2473 |
Second Address | Los Alamitos, CA 90720-2473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 17/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B50435 | (02) | CA |