Search › California › 207R00000X
Azadeh Modaresi, M.D
NPI 1992707004 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6730a White Oak Ave
Van Nuys, CA 91406 - Phone
- (818) 668-8898
- Fax
- (818) 668-8893
- Organisation at this address
- Sunrise Cosmed, A Medical Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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