Organization
M CHEGOUNCHI MD INC
Active
Other names
Los Angeles EECP Center, Brentwood EECP Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARJAN CHEGOUNCHI MD (PRESIDENT)
(310) 473-3030
Entity
Organization
Contact information
Practice address
11860 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-6606
(310) 473-3030
(310) 473-4848
Mailing address
11860 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-6606
(310) 473-3030
(310) 473-4848
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A80479
CA
Other
Enumeration date
02/23/2018
Last updated
06/25/2020
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