Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 20A16402 | CA |
Y | 207RP1001X | Pulmonary Disease | 20A16402 | CA |
NPI | 1023582194 |
---|---|
Provider Name | Haaris Naji |
First Address | Colton, CA 92324-1819 |
Second Address | Colton, CA 92324-1819 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2019 |
Last Update Date | 11/01/2019 |