Individual
PANTEA SHARIFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3524 TORRANCE BLVD, STE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Mailing address
3524 TORRANCE BLVD, STE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
A78624
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A78624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205851599
—
CA
Enumeration date
07/13/2006
Last updated
03/08/2013
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