Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M2256 | TX |
N | 111NI0900X | Internist | M2256 | TX |
N | 207RH0000X | Hematologist | A117268 | CA |
Y | 207RX0202X | Medical Oncology | A117268 | CA |
NPI | 1265480412 |
---|---|
Provider Name | Dr. Afsaneh Barzi |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-0000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1902846306 | GROUP NPI (01) | CA |
GR0100430 | GROUP MEDICAL (01) | CA |
I16889 | (02) | |
W18762 | GROUP MEDICARE (01) | CA |