Search › California › 172V00000X
Grant Pezeshki
NPI 1972257756 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1348 Virginia St
Berkeley, CA 94702 - Phone
- (718) 857-8729
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 174400000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California