Provider Demographics
NPI:1497015416
Name:FORGHANI, SANAZ (ND)
Entity type:Individual
Prefix:DR
First Name:SANAZ
Middle Name:
Last Name:FORGHANI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13323 W WASHINGTON BLVD
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-5170
Mailing Address - Country:US
Mailing Address - Phone:310-658-0885
Mailing Address - Fax:310-279-5019
Practice Address - Street 1:13323 W WASHINGTON BLVD
Practice Address - Street 2:SUITE # 202
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-5170
Practice Address - Country:US
Practice Address - Phone:310-658-0885
Practice Address - Fax:310-279-5019
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-520175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath