Individual
IRFAN NIZAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13633 INGLEWOOD AVE, HAWTHORNE, CA 90250-5610
(310) 999-9118
Mailing address
16617 YUKON AVE, TORRANCE, CA 90504-1314
(310) 999-9118
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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