Healthcare Provider Details

I. General information

NPI: 1134521784
Provider Name (Legal Business Name): ZAREEN CHOUDHURY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W CARSON ST # 3
TORRANCE CA
90502-2004
US

IV. Provider business mailing address

2701 SKYPARK DRIVE STE 100
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-3886
  • Fax: 310-782-8148
Mailing address:
  • Phone: 310-278-2234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: