Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 257597 | CA |
N | 208000000X | Pediatrician | 125063271 | IL |
NPI | 1588004634 |
---|---|
Provider Name | Dr. Fereshteh Hajsadeghi |
First Address | Chatsworth, CA 91311-1502 |
Second Address | Chatsworth, CA 91311-1502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2013 |
Last Update Date | 26/10/2021 |