| A Shawn Adhami M D A Professional Corporation | |
|
1000 W Whittier Blvd Montebello CA 90640 | |
| (323) 346-0555 | |
| (323) 346-0211 |
| Full Name | A Shawn Adhami M D A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 1000 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Afshin Shawn Adhami (MD OWNER) |
| Authorized Official Contact | 3233460555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Shawn Adhami M D A Professional Corporation 10400 La Grange Ave Apt 101 Los Angeles CA 90025-5168 Ph: (626) 350-9540 | A Shawn Adhami M D A Professional Corporation 1000 W Whittier Blvd Montebello CA 90640 Ph: (323) 346-0555 |
| NPI Number | 1932315827 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 4385609320 |
|---|---|
| Medicare Enrollment ID | O20041201000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932315827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Afshin S Adhami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104991686 PECOS PAC ID: 1254396294 Enrollment ID: I20041202000663 |
| Provider Name | Yaghoub Badymoghaddam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932225208 PECOS PAC ID: 5597714378 Enrollment ID: I20050119000558 |
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