Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A78624 | CA |
NPI | 1205851599 |
---|---|
Provider Name | Pantea Sharifi |
First Address | Torrance, CA 90503-4821 |
Second Address | Torrance, CA 90503-4821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1205851599 | (05) | CA |