Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | DC 23983 | CA |
NPI | 1962653808 |
---|---|
Provider Name | Dr. Roksana Shokouh Parham |
First Address | Reseda, CA 91335-3380 |
Second Address | Los Angeles, CA 90026-5421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2008 |
Last Update Date | 09/10/2008 |