Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A38240 | CA |
NPI | 1063464147 |
---|---|
Provider Name | Hormoz Zahiri |
First Address | Beverly Hills, CA 90211-2227 |
Second Address | Beverly Hills, CA 90211-2227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A28576 | (02) | CA |