Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A97896 | CA |
NPI | 1023287489 |
---|---|
Provider Name | Elsa Aghaian |
First Address | Glendale, CA 91203-1804 |
Second Address | Glendale, CA 91203-1808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 02/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023287489 | NPI (01) | CA |