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PEGAH TIZABGAR
NPI 1174996797
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since November 04, 2015
12420 RIDGE RD, LOS ANGELES, CA 90049(310) 729-6219 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pegah Tizabgar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGAH TIZABGAR (NPI 1174996797) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1174996797
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePEGAH TIZABGAR
Location Address12420 RIDGE RDLos Angeles, CA 90049-6805
Mailing Address12420 Ridge RdLos Angeles, CA 90049-6805 · (310) 729-6219
Phone(310) 729-6219
Sole ProprietorNo
Enumeration DateNovember 4, 2015
✔ NPI 1174996797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12420 RIDGE RD, Los Angeles, CA 90049
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pegah Tizabgar's NPI number?

The NPI number for Pegah Tizabgar is 1174996797. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Pegah Tizabgar located?

Pegah Tizabgar practices at 12420 Ridge Rd, Los Angeles, CA 90049. The listed phone number is (310) 729-6219.

What is Pegah Tizabgar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Pegah Tizabgar was last updated on November 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.