Aviccenna Medical Group

LBN: Aviccenna Medical Group
Aviccenna Medical Group is an health care organization with primary practice located at 435 N Bedford Dr Suite # 312, Beverly Hills CA 90210-4321. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Aviccenna Medical Group can be contacted via phone (310) 858-1800, or through Chimeh, Seyed Farhad N via phone (310) 858-1800.

Contact Information

Primary practice address
435 N Bedford Dr Suite # 312 Beverly Hills CA 90210-4321
Phone: (310) 858-1800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chimeh, Seyed Farhad N Doctor of Medicine (MD)
Phone: (310) 858-1800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A100198 California

Profile Details

NPI number 1124264635
LBN Legal business name Aviccenna Medical Group
DBA Doing business as
Authorized official Chimeh, Seyed Farhad N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2009
Last updated Jul 1st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124264635 NPPES
California MEDICAID 2074290

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