Sanam Tiffany Shahrooz, MD
Ophthalmology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164082855
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1164082855
- Entity type
- Individual (NPI-1)
- Name
- Sanam Tiffany Shahrooz
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2019
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | A185754 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2080 Century Park E Ste 911Los Angeles, CA 90067-2012
Phone 310-229-1220 · Fax 310-229-1222
Mailing address
2080 Century Park E Ste 911Los Angeles, CA 90067-2012
Phone 310-229-1220 · Fax 310-229-1222
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