Shahriarpour, Azita

Shahriarpour, Azita is an individual health care provider with primary practice located at 2114 Artesia Blvd , Redondo Beach CA 90278-3014. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shahriarpour, Azita can be contacted via phone (310) 802-6177.

Contact Information

Primary practice address
2114 Artesia Blvd Redondo Beach CA 90278-3014
Phone: (310) 802-6177
Fax: (310) 802-6178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D47560 California

Profile Details

NPI number 1457567612
LBN Legal business name Shahriarpour, Azita
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457567612 NPPES
California Other D47560 STATE LICENSE

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