Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A44740 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A44740 | CA |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | A44740 | CA |
NPI | 1427168806 |
---|---|
Provider Name | Fariborz H Naeni |
First Address | Fresno, CA 93721-1431 |
Second Address | Fresno, CA 93721-1324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A447400 | (05) | CA |
F19567 | (02) | CA |