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Organization
SHAHRAM BONYADLOU, MD, INC.
Active
Organization
SHAHRAM BONYADLOU, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRAM BONYADLOU MD (PRESIDENT)
(310) 528-1183
Entity
Organization
Contact information
Practice address
522 W CARSON ST, CARSON, CA 90745-2635
(310) 528-1183
(424) 781-8651
Mailing address
PO BOX 5227, PALOS VERDES ESTATES, CA 90274-9673
(310) 528-1183
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
05/12/2022
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