Organization
MAZIAR GHODSIAN DO PC
Active
Organization
MAZIAR GHODSIAN DO PC
Active
Other names
Proctology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIAR GHODSIAN D.O. (PRESIDENT)
(800) 280-6384
Entity
Organization
Contact information
Practice address
300 S BEVERLY DR, SUITE 105, BEVERLY HILLS, CA 90212-4808
(800) 280-6384
Mailing address
300 S BEVERLY DR, SUITE 105, BEVERLY HILLS, CA 90212-4808
(800) 280-6384
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
20A9722
CA
Other
Enumeration date
11/01/2010
Last updated
09/15/2015
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