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Organization

SHADI MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAYAM SHADI M.D. (PRESIDENT)
(323) 938-9999
Entity
Organization

Contact information

Practice address
8815 W PICO BLVD, LOS ANGELES, CA 90035-3301
(323) 938-9999
(323) 456-0880
Mailing address
PO BOX 49879, LOS ANGELES, CA 90049-0879
(323) 938-9999
(323) 456-0880

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
A78965
CA
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104997311
CA
Enumeration date
11/10/2006
Last updated
04/03/2026
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