Organization
HAYVENHURST INFECTIOUS DIS. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN NAZARIAN MD (MEDICAL DOCTOR)
(310) 914-9150
Entity
Organization
Contact information
Practice address
4054 STRAWBERRY PL, ENCINO, CA 91436-3826
(310) 914-9150
(310) 914-9705
Mailing address
4054 STRAWBERRY PL, ENCINO, CA 91436-3826
(310) 914-9150
(310) 914-9705
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A65901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A659010
—
CA
Enumeration date
07/15/2006
Last updated
08/22/2020
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