Organization
PANTEA SHARIFI HANNAUER, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANTEA A SHARIFI HANNAUER M.D. (OWNER)
(310) 540-1630
Entity
Organization
Contact information
Practice address
3524 TORRANCE BLVD.,, SUITE 104, TORRANCE, CA 90503
(310) 540-1630
(310) 540-1610
Mailing address
PO BOX 4269, TORRANCE, CA 90510-4269
(310) 540-1630
(310) 540-1610
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
A78624
CA
Other
Enumeration date
03/01/2012
Last updated
10/04/2018
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