Organization
DAVID NAZARIAN MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NAZARIAN MD (OWNER)
(310) 295-8626
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD, SUITE 105, TARZANA, CA 91356-2868
(818) 343-1401
(818) 343-1930
Mailing address
18425 BURBANK BLVD, SUITE 105, TARZANA, CA 91356-2868
(818) 343-1401
(818) 343-1930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A102096
CA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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