Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 130097 | CA |
NPI | 1013327493 |
---|---|
Provider Name | Ghazal Salmasi |
First Address | Santa Cruz, CA 95065-1523 |
Second Address | Santa Cruz, CA 95065-1523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2014 |
Last Update Date | 05/05/2017 |