Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | A116750 | CA |
NPI | 1053513804 |
---|---|
Provider Name | Nousheen Humayun Zaman |
First Address | La Crescenta, CA 91214-1525 |
Second Address | La Crescenta, CA 91214-1525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 22/12/2016 |