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General NPI Number Information
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NPI Number | 1154191740
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Entity Type | Individual
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Provider Name | HOUMAN SHAHRAZ PMHNP
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Gender | Male
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 03/09/2025
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 310-222-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 3943 IRVINE BLVD UNIT 2024
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City | IRVINE
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State | CA
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Zip | 92602-2400
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Country | US
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Telephone | 949-371-6519
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Fax | 949-342-7463
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95027456
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License Number State | CA
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