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NPI Code Detail

MEDICARE: HAZEL TAGHIZADEH

MEDICARE: HAZEL TAGHIZADEH
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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1568399426
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZEL TAGHIZADEH
Provider Business Mailing Address
First Line : 6767 FOREST LAWN DR STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90068-1027
Country : US
Telephone Number : 310-374-3300
Fax Number :
Provider Business Practice Location Address
First Line : 6767 FOREST LAWN DR STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90068-1027
Country : US
Telephone Number : 310-374-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “ HAZEL TAGHIZADEH ” Practice Location

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