Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A83153 | CA |
NPI | 1366466757 |
---|---|
Provider Name | Dr. Kiarash Sadrieh |
First Address | Los Angeles, CA 90033-2464 |
Second Address | Los Angeles, CA 90033-2464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 04/12/2008 |