Shahram Javaheri, Md, Inc.

LBN: Shahram Javaheri, Md, Inc.
Shahram Javaheri, Md, Inc. is an health care organization with primary practice located at 26691 Plaza Ste 150 , Mission Viejo CA 92691-6329. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Shahram Javaheri, Md, Inc. can be contacted via phone (949) 389-0660, or through Javaheri, Shahram via phone (949) 389-0660.

Contact Information

Primary practice address
26691 Plaza Ste 150 Mission Viejo CA 92691-6329
Fax: (949) 389-0668
Website:
Authorized official contact:
Name: Javaheri, Shahram Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A064239 California

Profile Details

NPI number 1760589097
LBN Legal business name Shahram Javaheri, Md, Inc.
DBA Doing business as
Authorized official Javaheri, Shahram Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 6th, 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 1760589097 NPPES
California MEDICAID 00A642390

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