Organization
ZAGHI MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOROUSH ZAGHI M.D. (PHYSICIAN AND SURGEON)
(818) 489-2444
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD, STE 446, ENCINO, CA 91316-2805
(818) 995-1891
Mailing address
5363 BALBOA BLVD, STE 446, ENCINO, CA 91316-2805
(818) 995-1891
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A119458
CA
207Y00000X
Otolaryngology Physician
A119458
CA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
A119458
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A119458
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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