Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A79337 | CA |
NPI | 1073540340 |
---|---|
Provider Name | Dr. Anita Kamarzarian |
First Address | Glendale, CA 91206-4071 |
Second Address | Glendale, CA 91206-4071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 05/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A793370 | (05) | CA |
I63459 | (02) | CA |