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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558367649 | NPPES |
California | MEDICAID | 00A781840 |
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