Individual
BEHZAD EZZATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(213) 675-2435
Mailing address
5675 W OLYMPIC BLVD, LOS ANGELES, CA 90036-4712
(213) 675-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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