Individual
DR. MOHAMMED IZHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Mailing address
1516 COTNER AVE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
A30009
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A30009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A300090
—
CA
01
—
RHL 131454
X-RAY SUPERVISOR / OPERAT
—
Enumeration date
09/26/2007
Last updated
08/14/2008
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