Organization Name: | H G ZIAEE MD CORP |
NPI Number: | 1184867624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOSSEINGHOLI ZIAEE (PRESIDENT) |
Mailing Address: | 12212 W Washington Blvd Los Angeles |
State: | CA US |
Postal Code: | 900665508 |
Phone Number: | 3103915241 |
Fax Number: | 3103974324 |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A89604 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |