Individual
MISS ELNAZ LOOYZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
4650 W SUNSET BLVD # MS 31, LOS ANGELES, CA 90027-6062
(323) 361-8375
(323) 361-7927
Mailing address
5329 OTIS AVE, TARZANA, CA 91356-4213
(818) 344-4672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54531
CA
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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