Individual
DR. SOROUSH ZAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10921 WILSHIRE BLVD, SUITE 912, LOS ANGELES, CA 90024-3906
(310) 579-9710
(818) 564-6921
Mailing address
10921 WILSHIRE BLVD STE 912, LOS ANGELES, CA 90024-4003
(310) 579-9710
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
A119458
CA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
A119458
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A119458
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A119458
CA
Other
Enumeration date
05/04/2010
Last updated
02/21/2025
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