Organization
SHADI YAGHOUBIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADI YAGHOUBIAN MD (OWNER)
(310) 801-9226
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(512) 588-5280
Mailing address
8549 WILSHIRE BLVD, SUITE 652, BEVERLY HILLS, CA 90211-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A131868
CA
208M00000X
Hospitalist Physician
Primary
A131868
CA
Other
Enumeration date
06/23/2015
Last updated
06/26/2015
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