Healthcare Provider Details

I. General information

NPI: 1790470219
Provider Name (Legal Business Name): SABRINA AFROZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14860 ROSCOE BLVD
PANORAMA CITY CA
91402-4665
US

IV. Provider business mailing address

14427 CHASE ST
PANORAMA CITY CA
91402-3020
US

V. Phone/Fax

Practice location:
  • Phone: 818-904-3132
  • Fax:
Mailing address:
  • Phone: 818-904-3132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA207873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: