1871309708 NPI number — DR. LIZA KOHANTEB ZARRINNIA RPH

Table of content: DR. LIZA KOHANTEB ZARRINNIA RPH (NPI 1871309708)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871309708 NPI number — DR. LIZA KOHANTEB ZARRINNIA RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZARRINNIA
Provider First Name:
LIZA
Provider Middle Name:
KOHANTEB
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ZARRINNIA
Provider Other First Name:
LIZA
Provider Other Middle Name:
KOHANTEB
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LIZA ZARRINNIA
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1871309708
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4955 VAN NUYS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHERMAN OAKS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91403-1801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-857-5000
Provider Business Mailing Address Fax Number:
818-850-5101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4955 VAN NUYS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHERMAN OAKS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91403-1801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-857-5000
Provider Business Practice Location Address Fax Number:
818-850-5101
Provider Enumeration Date:
12/05/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  78721 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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