Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | G076581 | CA |
N | 208600000X | Surgeon | G076581 | CA |
N | 2086S0105X | Surgery of the Hand | G076581 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | G076581 | CA |
NPI | 1811094576 |
---|---|
Provider Name | Shapour Daniel Golshani |
First Address | Beverly Hills, CA 90210-5424 |
Second Address | Beverly Hills, CA 90210-5424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 27/01/2014 |