| NPI | 1780137430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOROUSH ZAGHI Physician And Surgeon 818-489-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X (Licence: CA A119458) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: CA A119458) | |
| 207Y00000X Otolaryngology (Licence: CA A119458) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA A119458) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |