Organization
CENTURY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN SOUREHNISSANI MD (INTERNAL MEDICINE)
(310) 677-9400
Entity
Organization
Contact information
Practice address
3451 W CENTURY BLVD STE B1, INGLEWOOD, CA 90303-1228
(310) 677-9400
Mailing address
3451 W. CENTURY BLVD SUITE B1, INGLEWOOD, CA 90303
(310) 677-9400
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
NP 95003750
CA
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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