Individual
AMARYLLIS AZADEHBAHARI MALEKNIAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 WOODMAN AVE, VAN NUYS, CA 91405-2648
(818) 423-5065
Mailing address
7220 WOODMAN AVE, VAN NUYS, CA 91405-2648
(818) 423-5065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230133
CA
Other
Enumeration date
11/21/2023
Last updated
11/24/2023
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