Organization
SHIRAZ MEDICAL GROUP, INC
Active
Parent organization
SHIRAZ MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIRAZ MEDICAL GROUP, INC
Authorized official
KEYVAN SHIRAZI M.D. (CEO)
(818) 789-3964
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
03/01/2011
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