Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E5179 | CA |
Y | 222Z00000X | Podiatrist | E5179 | CA |
N | 213ES0103X | Foot & Ankle Surgery | EL1918 | CA |
NPI | 1073930343 |
---|---|
Provider Name | Eman Elmi |
First Address | Walnut Creek, CA 94598-2512 |
Second Address | Walnut Creek, CA 94598-2512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 09/02/2021 |