Pooya, Ghazal
Pooya, Ghazal is an sole proprietor health care provider with primary practice located at 20969 Ventura Blvd Ste 24 , Woodland Hills CA 91364-6622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pooya, Ghazal can be contacted via phone (310) 425-4810.Contact Information
Primary practice address
20969 Ventura Blvd Ste 24
Woodland Hills CA 91364-6622
Phone: (310) 425-4810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA21397 | California |
Profile Details
| NPI number | 1629352588 |
|---|---|
| LBN Legal business name | Pooya, Ghazal |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2011 |
| Last updated | Aug 25th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629352588 | NPPES |
| California | Other | PA21397 | PA LICENSE |
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