Individual
MR. BIJAN HOORFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3964
Mailing address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3964
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19682
CA
363AS0400X
Surgical Physician Assistant
PA19682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ611Y
MEDICARE PTAN
CA
Enumeration date
06/30/2008
Last updated
09/08/2010
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