Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist |
NPI | 1427296136 |
---|---|
Provider Name | Mr. Ajaaz Ahmed Zargar |
First Address | Fullerton, CA 92832-2017 |
Second Address | Fullerton, CA 92832-2017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2009 |
Last Update Date | 03/02/2009 |