Provider Demographics
NPI:1962577387
Name:ZARRINPAR, AZRA OZZIE (MD)
Entity type:Individual
Prefix:DR
First Name:AZRA
Middle Name:OZZIE
Last Name:ZARRINPAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AZRA
Other - Middle Name:
Other - Last Name:IMANABADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1700 WESTWOOD BLV
Mailing Address - Street 2:Y&Z SURGICAL PATHOLOGY LAB
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024
Mailing Address - Country:US
Mailing Address - Phone:310-435-1892
Mailing Address - Fax:310-858-3793
Practice Address - Street 1:1700 WESTWOOD BLV
Practice Address - Street 2:Y&Z SURGICAL PATHOLOGY LAB
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:310-435-1892
Practice Address - Fax:310-858-3793
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87800207ZP0101X, 207ZP0105X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI16264Medicare UPIN