Individual
MS. CAROL M VAZIRZADEH KAMJOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
11356 NEBRASKA AVE, LOS ANGELES, CA 90025-4222
(310) 966-1996
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14049
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
14049
CA
Other
Enumeration date
06/20/2006
Last updated
11/20/2017
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