Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E5383 | CA |
N | 213ES0131X | Foot Surgery | E5383 | CA |
NPI | 1174938229 |
---|---|
Provider Name | Pooya Lashkari |
First Address | Bayonne, NJ 07002-1323 |
Second Address | Torrance, CA 90505-1907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2014 |
Last Update Date | 24/03/2020 |