Individual
LAYA NASROLLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 SANTA ROSA RD STE 149, CAMARILLO, CA 93012-7061
(805) 469-8900
(805) 469-8920
Mailing address
1501 N CAMPBELL AVE RM 6336, TUCSON, AZ 85724-5040
(520) 626-2761
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A142119
CA
Other
Enumeration date
07/07/2010
Last updated
07/17/2023
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