Individual
PANTEA ZOHREVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
11370 ANDERSON ST STE B100, LOMA LINDA, CA 92354-3450
(909) 558-2880
Mailing address
11175 CAMPUS ST RM CP 11108, LOMA LINDA, CA 92350-1700
(909) 558-4907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10034771
TX
2084N0400X
Neurology Physician
Primary
A143480
CA
2084N0600X
Clinical Neurophysiology Physician
A143480
CA
Other
Enumeration date
06/04/2009
Last updated
12/08/2021
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