Organization
SEPEHR KATIRAIE MD INC.
Active
Other names
San Miguel Medical Center, sep medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPEHR KATIRAIE M.D. (OWNER)
(323) 588-3800
Entity
Organization
Contact information
Practice address
2638 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4708
(323) 588-3800
(323) 277-0399
Mailing address
724 N ELM DR, BEVERLY HILLS, CA 90210-3423
(323) 588-3800
(323) 277-0399
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A54478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A54478
—
CA
Enumeration date
01/10/2012
Last updated
08/14/2025
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