Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A93359 | CA |
N | 208600000X | Surgeon | A93359 | CA |
N | 2082S0105X | Plastic Hand Surgeon | A93359 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | A93359 | CA |
NPI | 1942393731 |
---|---|
Provider Name | Yaron Hazani |
First Address | Los Angeles, CA 90035-3160 |
Second Address | Los Angeles, CA 90035-3160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 28/08/2013 |