Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A126688 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | A126688 | CA |
NPI | 1275855728 |
---|---|
Provider Name | Dr. Zohreh Kousha-Shoar |
First Address | Santa Barbara, CA 93111-2466 |
Second Address | Santa Barbara, CA 93111-2466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2010 |
Last Update Date | 14/12/2021 |