Individual
DR. HOMAYOUN NASSIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2990
(818) 904-3793
Mailing address
PO BOX 662154, ARCADIA, CA 91066-2154
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A33224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A332240
—
CA
Enumeration date
08/17/2006
Last updated
06/13/2008
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