Healthcare Provider Details

I. General information

NPI: 1437730314
Provider Name (Legal Business Name): HOVRA ZAHOOR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date: 03/02/2022
Reactivation Date: 06/09/2022

III. Provider practice location address

7301 STATE ST
HUNTINGTON PARK CA
90255-5823
US

IV. Provider business mailing address

7301 STATE ST
HUNTINGTON PARK CA
90255-5823
US

V. Phone/Fax

Practice location:
  • Phone: 323-581-5120
  • Fax:
Mailing address:
  • Phone: 323-581-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA208128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: