Individual
FIROOZ MARVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 NORTH MACLAY AVE #2, SAN FERNANDO, CA 91340-2910
(818) 837-1355
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C40293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C402930
—
CA
Enumeration date
04/23/2007
Last updated
07/09/2007
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