Tofighrad, Mehran
Tofighrad, Mehran is an sole proprietor health care provider with primary practice located at 12340 Santa Monica Blvd 221, Los Angeles CA 90025-2594. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tofighrad, Mehran can be contacted via phone (310) 447-0700.Contact Information
Primary practice address
12340 Santa Monica Blvd 221
Los Angeles CA 90025-2594
Phone: (310) 447-0700
Fax: (310) 447-0701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4020 | California |
Profile Details
| NPI number | 1770570988 |
|---|---|
| LBN Legal business name | Tofighrad, Mehran |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | May 27th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770570988 | NPPES |
| California | MEDICAID | 000E40201 | |
| California | MEDICAID | 000E40202 |
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