IRADJ H NAZARIAN MD INC NPI 1619020724

NPI Information

NPI: 1619020724
Provider Name: IRADJ H NAZARIAN MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7136 PACIFIC BLVD
STE 225
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 584-8818
Get Directions

IRADJ H NAZARIAN MD INC is a general practice in Huntington Park, CA. IRADJ H NAZARIAN MD INC NPI is 1619020724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7136 PACIFIC BLVD
STE 225
HUNTINGTON PARK, CA
ZIP 90255-783
Phone: (323) 584-8818

The provider's authorized official is Iradj H Nazarian .
The authorized official title is Owner and has the following contact phone number (323) 584-8818.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/30/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A43573	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05D0700622	OTHER	CALIFORNIA	CLIA
2	A43573A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
3	00A435731	MEDICAID	CALIFORNIA
4	A85888	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »