Organization
GEORGE DELSHAD MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE M DELSHAD M.D. (OWNER)
(310) 463-8381
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST STE 310, VAN NUYS, CA 91405-3615
(310) 463-8381
Mailing address
11951 MAYFIELD AVE APT 301, LOS ANGELES, CA 90049-7203
(818) 830-6970
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G83566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760493076
—
CA
Enumeration date
01/31/2012
Last updated
06/27/2024
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