Individual
HOMEIRA IZADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 SHARON PARK DRIVE, D4, MENLO PARK, CA 94025
(650) 487-0844
(650) 924-9888
Mailing address
4061 E CASTRO VALLEY BLVD # 13, CASTRO VALLEY, CA 94552-4840
(650) 487-0844
(650) 924-9888
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A86985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173191101
—
TX
Enumeration date
10/17/2006
Last updated
03/10/2023
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