Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 63920 | CA |
NPI | 1033383971 |
---|---|
Provider Name | Navid Senehi |
First Address | Los Angeles, CA 90024-3079 |
Second Address | Woodland Hills, CA 91367-7708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 21/07/2016 |