Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 95007926 | CA |
NPI | 1073025714 |
---|---|
Provider Name | Elham Saddady |
First Address | Orange, CA 92868-3891 |
Second Address | Orange, CA 92868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2017 |
Last Update Date | 13/09/2018 |