Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A078087 | CA |
NPI | 1588654693 |
---|---|
Provider Name | Navid Navizadeh |
First Address | Valencia, CA 91355-3701 |
Second Address | Valencia, CA 91355-3701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2005 |
Last Update Date | 26/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A780870 | (05) | CA |
H81305 | (02) | CA |