Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A115941 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME108875 | FL |
NPI | 1073773180 |
---|---|
Provider Name | Josef Hadeed |
First Address | Beverly Hills, CA 90210-4206 |
Second Address | Beverly Hills, CA 90210-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 18/03/2021 |