Maryam Mortezaiefard, D.O.

Internal Medicine in West Hills, CA. Individual provider (NPI-1).

NPI number1285653196

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1285653196
Entity type: Individual (NPI-1)
Name: Maryam Mortezaiefard
Credential: D.O.
Sex: Female
Sole proprietor: Yes
Enumeration date: Jul 19, 2006
Last updated: Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OSTEOPATHIC MANIPULATIVE MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	20A7100	CA	Yes

Practice location

22110 Roscoe Blvd
Suite 100
West Hills, CA 91304-3845

Phone 818-888-8042

Mailing address

22110 Roscoe Blvd
Suite 100
West Hills, CA 91304-3845

Phone 818-888-8042

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in West Hills, CA

All 39 Internal Medicine Physician providers in West Hills · All 1,124 providers in West Hills

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