Shiraz Medical Group, Inc

LBN: Shiraz Medical Group, Inc
Shiraz Medical Group, Inc is an health care organization with primary practice located at 16952 Ventura Blvd Ste 100, Encino CA 91316-4124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Shiraz Medical Group, Inc can be contacted via phone (818) 789-3964, or through Shirazi, Keyvan via phone (818) 789-3964.

Contact Information

Primary practice address
16952 Ventura Blvd Ste 100 Encino CA 91316-4124
Phone: (818) 789-3964
Fax: (818) 789-3967
Website:
Map and Directions
Authorized official contact:
Name: Shirazi, Keyvan Doctor of Medicine (MD)
Phone: (818) 789-3964

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A78184 California

Profile Details

NPI number 1558367649
LBN Legal business name Shiraz Medical Group, Inc
DBA Doing business as
Authorized official Shirazi, Keyvan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 11th, 2014 - about 10 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 1558367649 NPPES
California MEDICAID 00A781840

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