Individual provider · Type 1 NPI
Mastaneh May Fakhiriyazdi, FNP
Family Nurse Practitioner · West Hollywood, CA
NPI number
1386218022
Active
Practice location
912 N San Vicente Blvd Apt 3
West Hollywood, CA 90069-3890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 95017188 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95017188 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386218022
Mastaneh May Fakhiriyazdi, FNP's National Provider Identifier is 1386218022, issued on May 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Hollywood, CA. The record was last updated on Jun 21, 2023.