Shahab Mehdizadeh Md Inc

LBN: Shahab Mehdizadeh Md Inc
Shahab Mehdizadeh Md Inc is an health care organization with primary practice located at 240 S La Cienega Blvd 102, Beverly Hills CA 90211-3324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Shahab Mehdizadeh Md Inc can be contacted via phone (310) 246-4100, or through Mehdizadeh, Shahab via phone (310) 246-4100.

Contact Information

Primary practice address
240 S La Cienega Blvd 102 Beverly Hills CA 90211-3324
Phone: (310) 246-4100
Fax: (310) 285-2029
Website:
Map and Directions
Authorized official contact:
Name: Mehdizadeh, Shahab Doctor of Medicine (MD)
Phone: (310) 246-4100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A76490 California

Profile Details

NPI number 1568669596
LBN Legal business name Shahab Mehdizadeh Md Inc
DBA Doing business as
Authorized official Mehdizadeh, Shahab Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Jul 7th, 2011 - about 13 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 1568669596 NPPES
California Other A76490 LICENSE

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