Mehdi Khorsandi Md Inc.

LBN: Mehdi Khorsandi Md Inc.
Mehdi Khorsandi Md Inc. is an health care organization with primary practice located at 1510 S Central Ave 620, Glendale CA 91204-2500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Mehdi Khorsandi Md Inc. can be contacted via phone (818) 500-1676, or through Khorsandi, Mehdi via phone (818) 500-1676.

Contact Information

Primary practice address
1510 S Central Ave 620 Glendale CA 91204-2500
Fax: (818) 500-8360
Website:
Authorized official contact:
Name: Khorsandi, Mehdi Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A52802 California

Profile Details

NPI number 1215962063
LBN Legal business name Mehdi Khorsandi Md Inc.
DBA Doing business as
Authorized official Khorsandi, Mehdi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Sep 14th, 2018 - about 7 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 1215962063 NPPES
California MEDICAID 00A528020

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