Maryam Mortezaiefard, D.O.

NPI #1285653196 in West Hills, California

Provider Information

NPI Number: 1285653196
Entity Type: Individual
Name: Maryam Mortezaiefard, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 22110 ROSCOE BLVD
Address 2: SUITE 100
City: West Hills
State: California
ZIP Code: 91304-3845
Phone: (818) 888-8042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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