Organization
IRAJ NAZARIAN MD, INC MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRAJ NAZARIAN MD (OWNER)
(310) 991-4950
Entity
Organization
Contact information
Practice address
7136 PACIFIC BLVD, SUITE # 225, HUNTINGTON PARK, CA 90255-4783
(310) 991-4950
(323) 249-0469
Mailing address
641 NORTH DOHENY DRIVE, BEVERLY HILLS, CA 90210
(310) 991-4950
(323) 249-0469
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
A43573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A43573
LICENSE NUMBER
CA
Enumeration date
06/20/2007
Last updated
03/07/2023
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