# HEALTH CARE ANGELS MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HEALTHCARE ANGELS MEDICAL CLINIC, INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720269194
- **Authorized official:** DR. ASHKAN ELIAHOU SEFARADI MD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (310) 592-2522

## Contact information

- **Practice address:** 9146 SEPULVEDA BLVD STE B, NORTH HILLS, CA 91343-6948
- **Practice address phone:** (818) 920-1133
- **Practice address fax:** (818) 893-6030
- **Mailing address:** 9146 SEPULVEDA BLVD STE B, NORTH HILLS, CA 91343-6948
- **Mailing address phone:** (818) 920-1133
- **Mailing address fax:** (818) 893-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A64183 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 10/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A641830 | — | CA |
| 01 | — | W17112 | MEDICARE GROUP ID | CA |