Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A21222 | CA |
NPI | 1013025394 |
---|---|
Provider Name | Iraj Akhlaghi |
First Address | Torrance, CA 90503 |
Second Address | Torrance, CA 90503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 25/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A22519 | (02) |