Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 111540 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 111540 | CA |
NPI | 1275761314 |
---|---|
Provider Name | Neda Ghaffari |
First Address | Pasadena, CA 91101-4306 |
Second Address | Los Angeles, CA 90033-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2009 |
Last Update Date | 06/05/2015 |