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Contact Information

JEONGSIM K IZADI, RN
2814 MONTAIR PL
UNION CITY, CA94587-1680
 Phone: 510-907-0014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Hospice

163WH1000X
Indicates primary specialty

NPI Profile & details for JEONGSIM K IZADI · (Female)

NPI Number 1639776933
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/08/2020
Last updated 08/20/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95016945
  • CA License # D2102705
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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