Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | OS014669 | PA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 20A12149 | CA |
NPI | 1114239035 |
---|---|
Provider Name | Ms. Parmis Pebdani |
First Address | Lancaster, CA 93534-6219 |
Second Address | Lancaster, CA 93534-6219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 20/10/2021 |