Individual
DR. ARDESHIR POOSHPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16260 VENTURA BLVD, ENCINO, CA 91436
(818) 905-1567
(818) 905-7406
Mailing address
22150 ECCLES ST, WEST HILLS, CA 91304-2314
(818) 618-2594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009063
CA
Other
Enumeration date
05/16/2018
Last updated
05/29/2019
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