Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 48677 | CA |
NPI | 1760488167 |
---|---|
Provider Name | Dr. Parish Paymon Sedghizadeh |
First Address | Los Angeles, CA 90089-0641 |
Second Address | Los Angeles, CA 90089-0641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 17/11/2014 |