Individual provider · Type 1 NPI

Amin Entezam

Specialist · Sacramento, CA

NPI number 1114857729 Active

Practice location

4610 X St
Sacramento, CA 95817-2200

Mailing address

3332 S St
Sacramento, CA 95816-7020

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1114857729

Amin Entezam's National Provider Identifier is 1114857729, issued on May 23, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on May 23, 2026.