Martin Mazyar Mortazavi Shemirani
Neurosurgeon
2100 Lynn Rd Ste 120
Thousand Oaks
, California 91360-8033
Martin Mazyar Mortazavi Shemirani
Neurosurgeon
2100 Lynn Rd Ste 120
Thousand Oaks
, California 91360-8033
(805) 618-1501
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Martin Mazyar Mortazavi Shemirani
- 2100 Lynn Rd Ste 120
- Thousand Oaks, CA
- Zip : 91360-8033
- Fax : (805) 618-1501
- Phone : (805) 795-7656
Second Address
- Martin Mazyar Mortazavi Shemirani
- 2100 Lynn Rd Ste 120
- Thousand Oaks, CA
- Zip : 91360-8033
- Fax : (805) 618-1501
- Phone : (805) 795-7656
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Is Martin Mazyar Mortazavi Shemirani a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | A112672 | CA |
National Provider Identifier
| NPI | 1093958852 |
|---|---|
| Provider Name | Martin Mazyar Mortazavi Shemirani |
| First Address | Thousand Oaks, CA 91360-8033 |
| Second Address | Thousand Oaks, CA 91360-8033 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2009 |
| Last Update Date | 16/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.