MASSOUD H. AGAHI M.D. INC. NPI 1821292368

NPI Information

NPI: 1821292368
Provider Name: MASSOUD H. AGAHI, M.D. INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
8635 W 3RD ST
SUITE 865-W
LOS ANGELES, CA
ZIP 90048
Phone: (310) 657-8237
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MASSOUD H. AGAHI, M.D. INC. is a vascular surgery surgery in Los Angeles, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MASSOUD H. AGAHI, M.D. INC. NPI is 1821292368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8635 W 3RD ST
SUITE 865-W
LOS ANGELES, CA
ZIP 90048-101
Phone: (310) 657-8237
Fax: (310) 659-2937

The provider's authorized official is Massoud H Agahi .
The authorized official title is Medical Director and has the following contact phone number (310) 657-8237.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 9/4/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	G75832	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
1	W20843	MEDICARE PIN
2	F47143	MEDICARE UPIN	CALIFORNIA
3	00G758320	MEDICAID	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: 4/28/2024

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