Individual
MISS PEGAH BAZEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16111 PLUMMER ST, SEPULVEDA, CA 91343-2036
(818) 895-5810
(818) 895-9378
Mailing address
4915 TYRONE AVE, APT #134, SHERMAN OAKS, CA 91423-1165
(818) 986-0661
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
461912
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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