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SHIRAZ MEDICAL GROUP INC NPI 1558367649


NPI Information

NPI: 1558367649
Provider Name: SHIRAZ MEDICAL GROUP, INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
16952 VENTURA BLVD
STE 100
ENCINO, CA
ZIP 91316
Phone: (818) 789-3964
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SHIRAZ MEDICAL GROUP, INC is an internal medicine in Encino, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHIRAZ MEDICAL GROUP, INC NPI is 1558367649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16952 VENTURA BLVD
STE 100
ENCINO, CA
ZIP 91316-124
Phone: (818) 789-3964
Fax: (818) 789-3967

The provider's authorized official is Keyvan Shirazi .
The authorized official title is Ceo and has the following contact phone number (818) 789-3964.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 9/11/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineA78184CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H69565MEDICARE UPINCALIFORNIA
2W16548MEDICARE ID-TYPE UNSPECIFIED
300A781840MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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