Most Relevant Information
Provider Data
| NPI Number: | 1003241381 |
| Provider Name: | SARIT FASSAZADEH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/05/2013 |
| Last Updated: | 06/24/2014 |
Provider Practice Location
456 ELM AVE
LONG BEACH
CA
908022426
Practice Location Phone/Fax
| Phone: | 5624376717 |
| Fax: |
Provider Mailing Location
456 ELM AVE
LONG BEACH
CA
908022426
Provider Mailing Phone/Fax
| Phone: | 5624376717 |
| Fax: |