Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 20A9333 | CA |
NPI | 1124290036 |
---|---|
Provider Name | Zahra Esmail |
First Address | Glendale, CA 91202-1864 |
Second Address | Glendale, CA 91202-1864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 31/03/2008 |