M Shokraei Md Inc

LBN: M Shokraei Md Inc
M Shokraei Md Inc is an health care organization with primary practice located at 6670 Reseda Blvd Suite # 105, Reseda CA 91335-5327. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. M Shokraei Md Inc can be contacted via phone (818) 881-0671, or through Shokraei, Mohammad T via phone (818) 881-0671.

Contact Information

Primary practice address
6670 Reseda Blvd Suite # 105 Reseda CA 91335-5327
Phone: (818) 881-0671
Fax: (818) 881-7762
Website:
Map and Directions
Authorized official contact:
Name: Shokraei, Mohammad T Doctor of Medicine (MD)
Phone: (818) 881-0671

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X A53012B California

Profile Details

NPI number 1952430324
LBN Legal business name M Shokraei Md Inc
DBA Doing business as
Authorized official Shokraei, Mohammad T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2007
Last updated Jun 19th, 2008 - 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 1952430324 NPPES
California Other A53012B MEDICAL LIC. NO.

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