Individual
MARTIN MAZYAR MORTAZAVI SHEMIRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 795-7656
(805) 618-1501
Mailing address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 795-7656
(805) 618-1501
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A112672
CA
Other
Enumeration date
04/09/2009
Last updated
12/16/2016
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