| Doctor Name: | BEHZAD MOSHARAFIAN |
| NPI Number: | 1255318424 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A80555 |
| Business Practice Address: | 468 Pennsfield Pl Ste 102 Thousand Oaks, CA - 913605570 |
| Business Phone Number: | 8053791616 |
| Business Fax Number: | 8053794848 |
| Mailing Address: | Po Box 77790, CORONA |
| State: | CA |
| Postal Code: | 928770126 |
| Phone Number: | 9512785590 |
| Fax Number: | 9512729924 |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 05/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A80555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |