Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 13240 | CA |
NPI | 1194914226 |
---|---|
Provider Name | Sahar Z Faghih |
First Address | Irvine, CA 92602-2413 |
Second Address | Fullerton, CA 92833-4492 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 17/03/2018 |