Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A133570 | CA |
NPI | 1003103805 |
---|---|
Provider Name | Rabab Hajar |
First Address | San Luis Obispo, CA 93405-1887 |
Second Address | San Luis Obispo, CA 93405-1887 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 14/05/2020 |