Organization
ASHA AMIRJAHED MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHA KOOROSH AMIRJAHED M.D. (OWNER)
(818) 757-3400
Entity
Organization
Contact information
Practice address
7035 RESEDA BLVD, SUITE #B, RESEDA, CA 91335
(818) 757-3400
(818) 757-3405
Mailing address
7035 RESEDA BLVD, SUITE #B, RESEDA, CA 91335
(818) 757-3400
(818) 757-3405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A41879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A41879
CA LICENCE
CA
Enumeration date
05/16/2008
Last updated
12/18/2008
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