CASPIAN MEDICAL CLINIC CORP NPI 1295967297

NPI Information

CASPIAN MEDICAL CLINIC CORP is an adolescent medicine pediatrics in Van Nuys, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. CASPIAN MEDICAL CLINIC CORP NPI is 1295967297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14103 VICTORY BLVD STE 7
VAN NUYS, CA
ZIP 91401-998
Phone: (818) 994-0000

The provider's authorized official is Mojdeh Zafaranchi .
The authorized official title is President and has the following contact phone number (818) 994-0000.

The CLIA number assigned to this NPI record is 05D0916587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2009 and was last updated on 8/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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