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Organization
S. JALALI, M.D., INC.
Active
Organization
S. JALALI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM JALALI M.D. (SOLE OWNER)
(818) 513-1213
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 784-6600
(818) 904-3774
Mailing address
101 S 1ST ST, SUITE 1000, BURBANK, CA 91502-1938
(818) 845-6206
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A82712
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A82712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA82712A
MEDICARE PPIN
CA
Enumeration date
07/14/2006
Last updated
09/20/2008
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