Individual
DR. IRADJ SIASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16111 PLUMMER ST, BUILDING 10,ROOM BA 118, SEPULVEDA, CA 91343-2036
(818) 895-9314
(818) 895-9413
Mailing address
16111 PLUMMER ST, BUILDING 10,ROOM BA 118, SEPULVEDA, CA 91343-2036
(818) 895-9314
(818) 895-9413
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C41142
CA
Other
Enumeration date
09/07/2006
Last updated
07/21/2022
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