Individual
SHIRIN KAZEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
(800) 954-8000
Mailing address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA21867
CA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/18/2011
Last updated
11/29/2021
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