Individual provider · Type 1 NPI

Pegah Tizabgar

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1174996797 Active

Practice location

12420 Ridge Rd
Los Angeles, CA 90049-6805

Call (310) 729-6219 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1174996797

Pegah Tizabgar's National Provider Identifier is 1174996797, issued on Nov 4, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 4, 2015.