MEDICARE: F. SABZEVAR, MD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	A92479	CA
2	207L00000X	Anesthesiology Physician	A92479	CA

General Provider Information

NPI Number	:	1467638742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F. SABZEVAR, MD, INC

Provider Business Mailing Address
First Line	:	PO BOX 7001
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91357-7001
Country	:	US
Telephone Number	:	818-888-7815
Fax Number	:	818-715-1722

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-623-5310
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT SOLE OWNER
Name	:	FOROUZAN SABZEVAR
Credential	:	M.D.
Telephone Number	:	310-989-6363

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	06/05/2013

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