Doctor Name: | SIAMAK NABILI |
NPI Number: | 1407892490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A83984 |
Business Practice Address: | 11 Technology Dr Irvine, CA - 926182302 |
Business Phone Number: | 9499233200 |
Business Fax Number: | 9499233550 |
Mailing Address: | 24541 Pacific Park Dr, Ste 205 ALISO VIEJO |
State: | CA |
Postal Code: | 926563065 |
Phone Number: | 9498310300 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A83984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |