Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 45072 | CA |
N | 213EG0000X | General Practice | 45072 | CA |
N | 122400000X | Denturist | 45072 | CA |
NPI | 1295871986 |
---|---|
Provider Name | Dr. Siavash Zargarpour |
First Address | Beverly Hills, CA 90210-1511 |
Second Address | South Gate, CA 90280-6304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D45072 | (05) | CA |