Organization
DR SASAN MASSACHI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SASAN MASSACHI MD (MEDICAL PHYSICIAN)
(310) 553-3013
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1609, LOS ANGELES, CA 90067-2019
(310) 553-3013
(310) 286-2184
Mailing address
2080 CENTURY PARK E STE 1609, LOS ANGELES, CA 90067-2019
(310) 553-3013
(310) 286-2184
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A108123
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134378763
NPI 1
CA
Enumeration date
08/18/2010
Last updated
02/26/2020
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