Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A72928 | CA |
NPI | 1003904830 |
---|---|
Provider Name | Guven Uzun |
First Address | Marina Del Rey, CA 90295 |
Second Address | Beverly Hills, CA 90210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A72928A0 | (05) | CA |
H27823 | (02) |