Organization
MEHRAD WOSOCHI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRDAD VOSOGHI M.D. (PRESIDENT)
(310) 556-7747
Entity
Organization
Contact information
Practice address
8306 WILSHIRE BLVD # 539, BEVERLY HILLS, CA 90211-2304
(310) 556-7747
Mailing address
8306 WILSHIRE BLVD # 539, BEVERLY HILLS, CA 90211-2304
(310) 556-7747
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A73291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73291
LICENSE
CA
Enumeration date
12/01/2014
Last updated
12/01/2014
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