Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 35.123120 | CA |
N | 207N00000X | Dermatologist | 35.123120 | OH |
Y | 207ND0101X | MOHS-Micrographic Surgeon | 35.123120 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | 35.123120 | OH |
N | 207ND0101X | MOHS-Micrographic Surgeon | A156592 | CA |
N | 207NS0135X | Procedural Dermatology | 35.123120 | OH |
N | 207NS0135X | Procedural Dermatology | A156592 | CA |
NPI | 1033423413 |
---|---|
Provider Name | Razieh Soltani Arabshahi |
First Address | Pasadena, CA 91106-2401 |
Second Address | Pasadena, CA 91106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 14/08/2018 |