# IRADJ H NAZARIAN MD INC

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

## Provider details

- **NPI number:** 1619020724
- **Authorized official:** IRADJ H NAZARIAN MD (OWNER)
- **Authorized official phone:** (323) 584-8818

## Contact information

- **Practice address:** 7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
- **Practice address phone:** (323) 584-8818
- **Mailing address:** 7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
- **Mailing address phone:** (323) 584-8818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A43573 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 07/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A435731 | — | CA |
| 01 | — | 05D0700622 | CLIA | CA |