Provider Demographics
NPI:1669228474
Name:ZOHARY, SAPHOURA F (FNP)
Entity type:Individual
Prefix:
First Name:SAPHOURA
Middle Name:F
Last Name:ZOHARY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:FATEMEH
Other - Middle Name:SAPHOURA
Other - Last Name:ZOHARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:16661 VENTURA BLVD STE 313
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1956
Mailing Address - Country:US
Mailing Address - Phone:818-271-1966
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD STE 313
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1956
Practice Address - Country:US
Practice Address - Phone:818-271-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA606744207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine