Organization
CRESCENT PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL YADEGARI MD (CEO)
(310) 409-6559
Entity
Organization
Contact information
Practice address
2784 CASIANO RD, LOS ANGELES, CA 90077-1524
(310) 409-6559
(213) 745-0152
Mailing address
601 N CRESCENT DR, BEVERLY HILLS, CA 90210-3329
(310) 409-6559
(213) 745-0152
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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