Individual
DR. SEYED H SHAHROKNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2045
(310) 315-1000
Mailing address
27758 SANTA MARGARITA PARKWAY, #409, MISSION VIEJO, CA 92691-6709
(949) 364-5716
(949) 364-5777
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A67310
CA
2085R0202X
Diagnostic Radiology Physician
A67310
CA
261QR0200X
Radiology Clinic/Center
A67310
CA
261QR0206X
Mammography Clinic/Center
A67310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A673100
—
CA
01
—
A67310
STATE LICENSE
CA
01
—
P00240672
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
12/29/2022
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