Individual
DR. SHAHROUZ Y. GHODSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11000 WILSHIRE BLVD 24673, LOS ANGELES, CA 90024-7042
(310) 709-7355
Mailing address
PO BOX 24673, LOS ANGELES, CA 90024-0673
(310) 552-2273
(310) 999-6520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82527
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A82527
CA
207RN0300X
Nephrology Physician
A82527
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A82527
CA
2084N0400X
Neurology Physician
Primary
A82527
CA
208D00000X
General Practice Physician
A82527
CA
Other
Enumeration date
08/12/2006
Last updated
04/14/2025
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