Provider Demographics
NPI:1043562911
Name:HEALTHY WOMAN, INC
Entity Type:Organization
Organization Name:HEALTHY WOMAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAFZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-559-7500
Mailing Address - Street 1:191 SOUTH BUENA VISTA STREET
Mailing Address - Street 2:#340-30
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4562
Mailing Address - Country:US
Mailing Address - Phone:818-559-7500
Mailing Address - Fax:818-559-6453
Practice Address - Street 1:191 SOUTH BUENA VISTA STREET
Practice Address - Street 2:#340-30
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4562
Practice Address - Country:US
Practice Address - Phone:818-559-7500
Practice Address - Fax:818-559-6453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120805207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty