Individual
MR. ALEXANDER EZZATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
18345 VENTURA BLVD, SUITE 503, TARZANA, CA 91356-4232
(310) 592-4487
Mailing address
18345 VENTURA BLVD, SUITE 503, TARZANA, CA 91356-4232
(310) 592-4487
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14696
CA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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