Mahyar Ganjianpour, | |
16237 Ventura Blvd, Encino, CA 91436-2201 | |
(818) 995-5000 | |
Not Available |
Full Name | Mahyar Ganjianpour |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 16237 Ventura Blvd, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487686846 | NPI | - | NPPES |
AX82060 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 20A8206 (California) | Primary |
Entity Name | Mahyar Ganjianpour Do A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326243015 PECOS PAC ID: 1052326030 Enrollment ID: O20060213000306 |
Entity Name | Dream Anesthesia A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912369414 PECOS PAC ID: 0547549370 Enrollment ID: O20161117001961 |
Mailing Address | Practice Location Address |
---|---|
Mahyar Ganjianpour, 5 Holland, Ste 101, Irvine, CA 92618-2568 Ph: (949) 588-2190 | Mahyar Ganjianpour, 16237 Ventura Blvd, Encino, CA 91436-2201 Ph: (818) 995-5000 |
Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722 | |
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Paul Konikoff, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 | |
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Brian Shih, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 17525 Ventura Blvd Ste 203, Encino, CA 91316 Phone: 818-986-0200 Fax: 818-986-4393 | |
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131 |