Organization
PULMONARY PROFESSIONALS A MEDICAL CORPORATION
Active
Organization
PULMONARY PROFESSIONALS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHYAR YADEGAR M.D. (MEDICAL DOCTOR)
(323) 363-6910
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD STE 211, TARZANA, CA 91356-2854
(310) 914-9150
(310) 914-9705
Mailing address
PO BOX 1133, STUDIO CITY, CA 91614-0000
(310) 914-9150
(310) 914-9705
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A61475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A614750
—
CA
Enumeration date
07/23/2006
Last updated
01/08/2020
Update your record
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