Organization
AMADA HEALTH GHALCHI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVIZ S SHOUR (DIRECTOR)
(818) 613-6789
Entity
Organization
Contact information
Practice address
12424 WILSHIRE BLVD FL 12, LOS ANGELES, CA 90025-1052
(818) 613-6789
Mailing address
820 N WHITTIER DR, BEVERLY HILLS, CA 90210-3044
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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