Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 51775 | CA |
NPI | 1154576619 |
---|---|
Provider Name | Sahar Verdi |
First Address | Beverly Hills, CA 90211-1827 |
Second Address | Beverly Hills, CA 90211-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 06/06/2012 |