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Individual

FARZANEH N/A KHODAPARAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 W. 6TH STREET SUITE 111, LOS ANGELES, CA 90017-1800
(323) 404-1027
(323) 340-8298
Mailing address
625 SOUTH FAIR OAKS AVE. SUITE 200, SOUTH PASADENA, CA 91030-2694

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6722
CA

Other

Enumeration date
02/25/2011
Last updated
02/25/2011
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