Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 24604 | CA |
NPI | 1154598613 |
---|---|
Provider Name | Mehran Shei |
First Address | Culver City, CA 90232-3610 |
Second Address | Culver City, CA 90232-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 14/05/2008 |