Delshad, George Mordechai

Delshad, George Mordechai is an individual health care provider with primary practice located at 15211 Vanowen St Ste 310 , Van Nuys CA 91405-3615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Delshad, George Mordechai can be contacted via phone (310) 463-8381.

Contact Information

Primary practice address
15211 Vanowen St Ste 310 Van Nuys CA 91405-3615
Phone: (310) 463-8381
Fax: (818) 830-3015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G83566 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G083566 California

Profile Details

NPI number 1760493076
LBN Legal business name Delshad, George Mordechai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 27th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760493076 NPPES
California MEDICAID 00G835660

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