Individual
SHARIFKHON SIRODZHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16442 VANOWEN ST, LAKE BALBOA, CA 91406-4729
(747) 343-9575
Mailing address
16442 VANOWEN ST, LAKE BALBOA, CA 91406-4729
(747) 343-9575
Taxonomy
Speciality
Code
Description
License number
State
2278E1000X
Educational Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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