Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT192824 | PA |
N | 111NI0900X | Internist | MT192824 | PA |
Y | 207RH0003X | Hematology & Oncology | 127886 | CA |
NPI | 1053578526 |
---|---|
Provider Name | Navid Jamshidi |
First Address | Anaheim, CA 92806 |
Second Address | Anaheim, CA 92806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 22/12/2021 |