Organization
MEHDI KHORSANDI MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHDI KHORSANDI M.D. (OWNER)
(818) 500-1676
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, 620, GLENDALE, CA 91204-2500
(818) 500-1676
(818) 500-8360
Mailing address
1510 S CENTRAL AVE, 620, GLENDALE, CA 91204-2500
(818) 500-1676
(818) 500-8360
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A52802
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A528020
—
CA
Enumeration date
07/11/2006
Last updated
01/21/2025
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