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Organization
MEDICAL GROUP URGENT CARE
Active
Organization
MEDICAL GROUP URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRZAD FORAT D.C. (OWNER)
(818) 645-8174
Entity
Organization
Contact information
Practice address
3540 WILSHIRE BLVD STE 711, LOS ANGELES, CA 90010-2351
(213) 480-6774
Mailing address
3540 WILSHIRE BLVD STE 711, LOS ANGELES, CA 90010-2351
(213) 480-6774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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