Individual
DR. ARDESHIR SOROUSHYARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18370 BURBANK BLVD, STE 601, TARZANA, CA 91356-2831
(818) 996-5700
(818) 996-1649
Mailing address
18370 BURBANK BLVD, STE 601, TARZANA, CA 91356-2831
(818) 996-5700
(818) 996-1649
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A74069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110061982
RAILROAD RENDERING NUMBER
CA
01
—
95-3132732
BLUE CROSS OF CALIFORNIA
CA
01
—
T0796
RAILROAD GROUP NUMBER
CA
01
—
WA74069A
MEDICARE RENDERING NUMBER
CA
01
—
YYY40048Y
BLUE SHIELD OF CALIFORNIA
CA
05
—
YYY40048Y
—
CA
Enumeration date
06/13/2005
Last updated
11/17/2009
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