# GEORGE DELSHAD MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023380425
- **Authorized official:** DR. GEORGE M DELSHAD M.D. (OWNER)
- **Authorized official phone:** (310) 463-8381

## Contact information

- **Practice address:** 15211 VANOWEN ST STE 310, VAN NUYS, CA 91405-3615
- **Practice address phone:** (310) 463-8381
- **Mailing address:** 11951 MAYFIELD AVE APT 301, LOS ANGELES, CA 90049-7203
- **Mailing address phone:** (818) 830-6970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G83566 | CA | Yes |

## Other

- **Enumeration date:** 01/31/2012
- **Last updated:** 06/27/2024