Organization
IRADJ H NAZARIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRADJ H NAZARIAN MD (OWNER)
(323) 584-8818
Entity
Organization
Contact information
Practice address
7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
(323) 584-8818
Mailing address
7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
(323) 584-8818
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A43573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A435731
—
CA
01
—
05D0700622
CLIA
CA
Enumeration date
01/19/2007
Last updated
07/30/2008
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