Individual
MARYAM MOKHTARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 S BEVERLY GLEN BLVD, APT.#304, LOS ANGELES, CA 90064-2415
(248) 219-5039
Mailing address
2201 S BEVERLY GLEN BLVD, APT.#304, LOS ANGELES, CA 90064-2415
(248) 219-5039
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A104706
CA
Other
Enumeration date
07/02/2007
Last updated
10/05/2009
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