Provider Demographics
NPI:1730593674
Name:WERTHEIMER, SAHAR ESHRAT (MD)
Entity type:Individual
Prefix:DR
First Name:SAHAR
Middle Name:ESHRAT
Last Name:WERTHEIMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAHAR
Other - Middle Name:ESHRAT
Other - Last Name:ZAGHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8635 W 3RD ST STE 160
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-6103
Mailing Address - Country:US
Mailing Address - Phone:310-423-5798
Mailing Address - Fax:
Practice Address - Street 1:8635 W 3RD ST STE 160
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-6103
Practice Address - Country:US
Practice Address - Phone:310-423-5798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA154011207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program