Provider Demographics
NPI:1376201988
Name:SANATI, AZIN
Entity Type:Individual
Prefix:
First Name:AZIN
Middle Name:
Last Name:SANATI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6333 CANOGA AVE APT 269
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2506
Mailing Address - Country:US
Mailing Address - Phone:747-888-7147
Mailing Address - Fax:
Practice Address - Street 1:6333 CANOGA AVE APT 269
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2506
Practice Address - Country:US
Practice Address - Phone:747-888-7147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver