Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A148167 | CA |
NPI | 1013302876 |
---|---|
Provider Name | Dr. Gelareh Renee Nikpour-Heravi |
First Address | Downey, CA 90242-2814 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 14/12/2021 |