Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A126850 | CA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | A126850 | CA |
NPI | 1043576481 |
---|---|
Provider Name | Mr. Yassar Arain |
First Address | La Jolla, CA 92037-1300 |
Second Address | La Jolla, CA 92037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 15/05/2018 |