Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 60384 | CA |
NPI | 1073885265 |
---|---|
Provider Name | Leila Zahedi |
First Address | San Francisco, CA 94107-3601 |
Second Address | San Francisco, CA 94107-3601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |