Organization
DIAGNOSTIC CARE INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRIAR GHODSIAN M.D. (PHYSICIAN)
(310) 854-3313
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 1170W, LOS ANGELES, CA 90048-6101
(310) 854-3313
(310) 691-8877
Mailing address
8635 W 3RD ST, SUITE 1170W, LOS ANGELES, CA 90048-6101
(310) 854-3313
(310) 691-8877
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A72696
CA
207RP1001X
Pulmonary Disease Physician
A72696
CA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
A72696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA72696G
MEDICARE ID
CA
Enumeration date
01/14/2010
Last updated
01/14/2010
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