Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A23324 | CA |
N | 208600000X | Surgeon | A23324 | CA |
N | 2086S0129X | Vascular Surgeon | A23324 | CA |
NPI | 1134234131 |
---|---|
Provider Name | Mohsen Zabetian |
First Address | Hemet, CA 92544-4707 |
Second Address | Hemet, CA 92544-4707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A23324 | (02) | CA |