Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A060998 | CA |
Y | 208600000X | Surgeon | A060998 | CA |
NPI | 1013013218 |
---|---|
Provider Name | Hamid R. Rassai |
First Address | Walnut Creek, CA 94598-5915 |
Second Address | Antioch, CA 94509-6249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 12/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H13834 | (02) | CA |