Organization
ADVANCED HEART MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA KIANPOUR (OWNER)
(310) 474-6541
Entity
Organization
Contact information
Practice address
10757 CLARKSON RD., SECOND FLOOR, LOS ANGELES, CA 90064-2109
(310) 474-6541
(310) 470-9779
Mailing address
2355 WESTWOOD BLVD., 321, LOS ANGELES, CA 90064-2109
(310) 474-6541
(310) 470-9779
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TG611
MEDICARE PROVIDER #
—
Enumeration date
11/14/2006
Last updated
07/21/2008
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