Doctor Name: | NAZILA ESHRAGHI |
NPI Number: | 1164454609 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | E4566 |
Business Practice Address: | 1000 Newbury Rd Ste 110 Newbury Park, CA - 913206436 |
Business Phone Number: | 8053754909 |
Business Fax Number: | 8053750364 |
Mailing Address: | 1000 Newbury Rd Ste 110, NEWBURY PARK |
State: | CA |
Postal Code: | 913206436 |
Phone Number: | 8053754909 |
Fax Number: | 8053750364 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |