Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC17266 | CA |
NPI | 1336211424 |
---|---|
Provider Name | Dr. Yechiam Arad |
First Address | Tarzana, CA 91356-3366 |
Second Address | Tarzana, CA 91356-3366 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |