Individual
DR. ALI REZA SHAYAN-ZAKARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
12415 CLOUDESLY DR, SAN DIEGO, CA 92128-1005
(858) 735-5019
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
55483
CA
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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