Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A93629 | CA |
NPI | 1114187556 |
---|---|
Provider Name | Dr. Azin Shahryarinejad |
First Address | Los Angeles, CA 90064-2326 |
Second Address | Redondo Beach, CA 90277-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 06/12/2021 |