Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A32040 | CA |
NPI | 1063408185 |
---|---|
Provider Name | Mehmet H Ozgur |
First Address | Glendale, CA 91207-1057 |
Second Address | Northridge, CA 91325-1600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2005 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A320400 | (05) | CA |
A26680 | (02) |