Basic Information
Provider Information
NPI: 1467638742
EntityType: 2
ReplacementNPI:  
OrganizationName: F. SABZEVAR, MD, INC
LastName:  
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Mailing Information
Address1: PO BOX 7001
Address2:  
City: TARZANA
State: CA
PostalCode: 913577001
CountryCode: US
TelephoneNumber: 8188887815
FaxNumber: 8187151722
Practice Location
Address1: 12660 RIVERSIDE DR
Address2:  
City: STUDIO CITY
State: CA
PostalCode: 916073429
CountryCode: US
TelephoneNumber: 8186235310
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/16/2008
LastUpdateDate: 06/05/2013
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: SABZEVAR
AuthorizedOfficialFirstName: FOROUZAN
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AuthorizedOfficialTitleorPosition: PRESIDENT SOLE OWNER
AuthorizedOfficialTelephone: 3109896363
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP2900XA92479CAN193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
207L00000XA92479CAY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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