Organization
SHAHLA RAD, MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHLA RAD M.D (DIRECTOR)
(310) 289-1114
Entity
Organization
Contact information
Practice address
8642A W PICO BLVD, LOS ANGELES, CA 90035-2314
(310) 289-1114
(310) 289-1119
Mailing address
PO BOX 18059, BEVERLY HILLS, CA 90209-4059
(310) 289-1114
(310) 289-1119
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
A48101
CA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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