Mastaneh May Fakhiriyazdi, FNP is a
Nurse Practitioner - Family physician based in West Hollywood, California. Mastaneh May Fakhiriyazdi is licensed to practice in California (license number 95017188) and her current practice location is 912 N San Vicente Blvd Apt 3, West Hollywood, California. She can be reached at her office (for appointments etc.) via phone at
(703) 835-4595.
NPI number for Mastaneh May Fakhiriyazdi is 1386218022 and her current mailing address is 912 N San Vicente Blvd Apt 3, West Hollywood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386218022.
Physician's Profile
Full Name | Mastaneh May Fakhiriyazdi |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 912 N San Vicente Blvd Apt 3, West Hollywood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386218022
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 06/21/2023
Medical Identifiers
Medical identifiers for Mastaneh May Fakhiriyazdi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386218022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 95017188 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95017188 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mastaneh May Fakhiriyazdi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mastaneh May Fakhiriyazdi, FNP 912 N San Vicente Blvd Apt 3, West Hollywood, CA 90069-3890 Ph: (703) 835-4595 | Mastaneh May Fakhiriyazdi, FNP 912 N San Vicente Blvd Apt 3, West Hollywood, CA 90069-3890 Ph: (703) 835-4595 |
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