Organization
WEST LA MEDICAL GROUP
Active
Other names
WEST LA MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
HOOMAN SHABATIAN MD (DIRECTOR)
(818) 774-2755
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE LL08, ENCINO, CA 91316-5135
(818) 774-2755
Mailing address
17609 VENTURA BLVD STE LL08, ENCINO, CA 91316-5135
(818) 774-2755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/08/2023
Last updated
05/14/2025
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