Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | G56999 | CA |
NPI | 1578502480 |
---|---|
Provider Name | Fikret Atamdede |
First Address | Newport Beach, CA 92663-3509 |
Second Address | Torrance, CA 90505-4035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 01/04/2016 |