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Dr. Samira Mortazavi, MD
Student in an Organized Health Care Education/Training Program in West Hollywood, California
NPI 1528647799

Samira Mortazavi is a Student in an Organized Health Care Education/Training Program based in West Hollywood, CA. Samira Mortazavi practices in West Hollywood, CA and has the professional credentials of MD. The NPI Number for Samira Mortazavi is 1528647799 and holds a License No. (California).

The current practice location address for Samira Mortazavi is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-6941.

Location: 8700 Beverly Blvd, West Hollywood, CA, 90048-1804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528647799
Provider Name
Samira Mortazavi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
8700 Beverly Blvd, West Hollywood, CA, 90048-1804
Phone Number
310-423-6941
Fax Number
Provider Enumeration Date
04/05/2021
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
310-423-6941
Fax Number
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
West Hollywood
State
California
Zip
90048-1804
Phone Number
310-423-6941
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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