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A SHAWN VEISEH MD A PROFESSIONAL CORPORATION EXECUTIVE PHYSICAL PROGRA NPI 1285737353


NPI Information

NPI: 1285737353
Provider Name: A SHAWN VEISEH MD A PROFESSIONAL CORPORATION EXECUTIVE PHYSICAL PROGRA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
100 UCLA MEDICAL PLZ
SUITE 720
LOS ANGELES, CA
ZIP 90024
Phone: (310) 208-0708
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A SHAWN VEISEH MD A PROFESSIONAL CORPORATION EXECUTIVE PHYSICAL PROGRA is a primary care clinic center in Los Angeles, CA. A SHAWN VEISEH MD A PROFESSIONAL CORPORATION EXECUTIVE PHYSICAL PROGRA NPI is 1285737353. The provider is registered as an organization entity type.

The provider's business location address is:

100 UCLA MEDICAL PLZ
SUITE 720
LOS ANGELES, CA
ZIP 90024-970
Phone: (310) 208-0708
Fax: (310) 209-1577

The provider's authorized official is Afshin Shawn Vieseh .
The authorized official title is President and has the following contact phone number (310) 208-0708.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/18/2012.


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
1261QP2300XClinic/CenterPrimary CareG74878CALIFORNIAYes

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
1G74878BMEDICARE PINCALIFORNIA

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

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