Individual
AZITA SHAHRIARPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278-3014
(310) 802-6177
(310) 802-6178
Mailing address
23430 HAWTHORNE BLVD, BLDG 3, STE 210, TORRANCE, CA 90505-4720
(310) 802-6177
(310) 802-6178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D47560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D47560
STATE LICENSE
CA
Enumeration date
05/15/2007
Last updated
07/08/2007
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