Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A171120 | CA |
NPI | 1740677095 |
---|---|
Provider Name | Houmehr Hojjat |
First Address | Irvine, CA 92603-3716 |
Second Address | West Hollywood, CA 90069-5108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2015 |
Last Update Date | 22/09/2021 |