# MASSOUD H. AGAHI, M.D. INC.

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

## Provider details

- **NPI number:** 1821292368
- **Authorized official:** DR. MASSOUD H AGAHI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 657-8237

## Contact information

- **Practice address:** 8635 W 3RD ST, SUITE 865-W, LOS ANGELES, CA 90048-6101
- **Practice address phone:** (310) 657-8237
- **Practice address fax:** (310) 659-2937
- **Mailing address:** 8635 W 3RD ST, SUITE 865-W, LOS ANGELES, CA 90048-6101
- **Mailing address phone:** (310) 657-8237
- **Mailing address fax:** (310) 659-2937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G75832 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 09/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G758320 | — | CA |