Individual
NAZANIN YAGHMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11303 W WASHINGTON BLVD STE 100, LOS ANGELES, CA 90066-6003
(310) 301-7396
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G76768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G767680
—
CA
Enumeration date
06/21/2006
Last updated
12/19/2019
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