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Azita Gholami
Family Nurse Practitioner in West Hollywood, California
NPI 1245953686

Azita Gholami is a Family Nurse Practitioner based in Playa Vista, CA and is specialized in Family. Azita Gholami practices in West Hollywood, CA. The NPI Number for Azita Gholami is 1245953686 and holds a License No. 95022389 (California).

The current practice location address for Azita Gholami is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 805-708-5523.

Location: 8700 Beverly Blvd, West Hollywood, CA, 90094-2667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245953686
Provider Name
Azita Gholami
Credential
Provider Entity Type
Individual
Gender
Female
Address
8700 Beverly Blvd, West Hollywood, CA, 90094-2667
Phone Number
805-708-5523
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
805-708-5523
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
805-708-5523
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95022389 (California)
Definition
Definition to come...
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