Organization
SHAHRIAR GHODSIAN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHRIAR GHODSIAN MD (PRESIDENT)
(310) 854-0606
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, 1170 WEST, LOS ANGELES, CA 90048-6101
(310) 854-0606
Mailing address
PO BOX 5265, BEVERLY HILLS, CA 90209-5265
(310) 854-0606
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A72696
CA
207RP1001X
Pulmonary Disease Physician
Primary
A72696
CA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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