WESTSIDE MEDICAL ASSOCIATES OF LOS ANGELES NPI 1497742688

NPI Information

WESTSIDE MEDICAL ASSOCIATES OF LOS ANGELES is a specialist in Beverly Hills, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WESTSIDE MEDICAL ASSOCIATES OF LOS ANGELES NPI is 1497742688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

99 N LA CIENEGA BLVD
SUITE 103
BEVERLY HILLS, CA
ZIP 90211-222
Phone: (310) 623-1146
Fax: (310) 623-1142

The provider's authorized official is Saied Shemiranei .
The authorized official title is Operating Manager and has the following contact phone number (310) 623-1146.

The CLIA number assigned to this NPI record is 05D1036988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 9/9/2008.

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:

Other Identifiers

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

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