Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4749 | CA |
NPI | 1013187038 |
---|---|
Provider Name | Dr. Shohreh Sayani |
First Address | Northridge, CA 91324-4625 |
Second Address | Northridge, CA 91324-4625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 16/03/2010 |