Provider Demographics
NPI:1235955717
Name:TOTAL WOMAN MD
Entity type:Organization
Organization Name:TOTAL WOMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHSENZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-577-0833
Mailing Address - Street 1:4766 PARK GRANADA STE 107
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3345
Mailing Address - Country:US
Mailing Address - Phone:818-577-0833
Mailing Address - Fax:
Practice Address - Street 1:4766 PARK GRANADA STE 107
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3345
Practice Address - Country:US
Practice Address - Phone:818-577-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-29
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty