Organization
TRUE FUNCTIONAL AIRWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E SHIRAZI DDS (PRESIDENT/OWNER)
(805) 496-5700
Entity
Organization
Contact information
Practice address
555 MARIN ST, SUITE 108, THOUSAND OAKS, CA 91360-4236
(805) 496-5700
(805) 496-5719
Mailing address
555 MARIN ST, SUITE 108, THOUSAND OAKS, CA 91360-4236
(805) 496-5700
(805) 496-5719
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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