Individual
MRS. NAZANIN MATLOUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1505 N EDGEMONT ST, 5T FLOOR, LOS ANGELES, CA 90027-5209
(323) 783-7699
Mailing address
1505 N EDGEMONT ST, 5T FLOOR, LOS ANGELES, CA 90027-5209
(323) 783-7699
(502) 589-0805
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A96114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64077951
—
KY
Enumeration date
07/12/2005
Last updated
12/01/2021
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