| E. Esfandiarifard M.d. Inc. | |
|
16661 Ventura Blvd Ste 515 Encino CA 91436-1972 | |
| (818) 990-4030 | |
| (818) 990-4031 |
| Full Name | E. Esfandiarifard M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 16661 Ventura Blvd Ste 515, Encino, California |
| Authorized Official Name and Position | Esfandiar Esfandiarifard (INTERNIST) |
| Authorized Official Contact | 8189904030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E. Esfandiarifard M.d. Inc. 16661 Ventura Blvd Ste 515 Encino CA 91436-1972 Ph: (818) 990-4030 | E. Esfandiarifard M.d. Inc. 16661 Ventura Blvd Ste 515 Encino CA 91436-1972 Ph: (818) 990-4030 |
| NPI Number | 1326236126 |
|---|---|
| Provider Enumeration Date | 10/06/2007 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 4688602261 |
|---|---|
| Medicare Enrollment ID | O20050803001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326236126 | NPI | - | NPPES |
| 00A740460 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A74046 (California) | Primary |
| Provider Name | Esfandiar Esfandiarifard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063514479 PECOS PAC ID: 6608061528 Enrollment ID: I20101117000368 |
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