Yazdipour, Mariam
Yazdipour, Mariam is an sole proprietor health care provider with primary practice located at 400 S Sepulveda Blvd Ste 200 , Manhattan Beach CA 90266-6876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Yazdipour, Mariam can be contacted via phone (310) 546-3461.Contact Information
Primary practice address
400 S Sepulveda Blvd Ste 200
Manhattan Beach CA 90266-6876
Phone: (310) 546-3461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MT191749 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C144316 | California |
Profile Details
| NPI number | 1356578835 |
|---|---|
| LBN Legal business name | Yazdipour, Mariam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2009 |
| Last updated | Mar 5th, 2021 - about 5 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.
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