Shadi Medical Corporation

LBN: Shadi Medical Corporation
Shadi Medical Corporation is an health care organization with primary practice located at 5901 W Olympic Blvd Ste 404 , Los Angeles CA 90036-4669. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as the primary health care specialty. Shadi Medical Corporation can be contacted via phone (323) 938-9999, or through Shadi, Payam via phone (323) 938-9999.

Contact Information

Primary practice address
5901 W Olympic Blvd Ste 404 Los Angeles CA 90036-4669
Phone: (323) 938-9999
Fax: (323) 456-0880
Website:
Map and Directions
Authorized official contact:
Name: Shadi, Payam Doctor of Medicine (MD)
Phone: (323) 938-9999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X A78965 California

Profile Details

NPI number 1104997311
LBN Legal business name Shadi Medical Corporation
DBA Doing business as
Authorized official Shadi, Payam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Jan 29th, 2020 - about 5 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 1104997311 NPPES
California MEDICAID 1104997311

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