Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A161622 | CA |
NPI | 1356769699 |
---|---|
Provider Name | Sean Hashemi |
First Address | Los Altos, CA 94023-1228 |
Second Address | Chico, CA 95926-2175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 29/09/2020 |