MAZIAR GHODSIAN DO PC NPI 1073813598

NPI Information

  • NPI: 1073813598
  • Provider Name: MAZIAR GHODSIAN DO PC
  • Classification: Colon & Rectal Surgery - 208C00000X
  • Entity Type: Organization
  • Doing Business As: PROCTOLOGY INSTITUTE
  • Address: 300 S BEVERLY DR
    SUITE 105
    BEVERLY HILLS, CA
    ZIP 90212
  • Phone: (800) 280-6384

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NPI Details

MAZIAR GHODSIAN DO PC is a colon rectal surgery in Beverly Hills, CA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. MAZIAR GHODSIAN DO PC NPI is 1073813598. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Proctology Institute.

The provider's business location address is:

300 S BEVERLY DR
SUITE 105
BEVERLY HILLS, CA
ZIP 90212-808
Phone: (800) 280-6384

The provider's authorized official is Maziar Ghodsian .
The authorized official title is President and has the following contact phone number (800) 280-6384.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 9/15/2015.

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
1208C00000XColon & Rectal Surgery20A9722CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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