Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A103357 | CA |
N | 111NI0900X | Internist | A103357 | CA |
Y | 207SG0201X | Clinical Genetics (M.D.) | A103357 | CA |
NPI | 1447224126 |
---|---|
Provider Name | Valentina R Dalili-Shoaie |
First Address | Newport Beach, CA 92663-3663 |
Second Address | Newport Beach, CA 92663-3663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 03/10/2019 |