| Farnoosh Taghadosi Md Inc | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (310) 786-7204 | |
| Not Available |
| Full Name | Farnoosh Taghadosi Md Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Farnoosh Taghadosi (OWNER / PRESIDENT) |
| Authorized Official Contact | 3107867204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farnoosh Taghadosi Md Inc 312 S Beverly Dr 3104 Beverly Hills CA 90212-4813 Ph: (310) 786-7204 | Farnoosh Taghadosi Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (310) 786-7204 |
| NPI Number | 1346793932 |
|---|---|
| Provider Enumeration Date | 07/29/2016 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 6608164975 |
|---|---|
| Medicare Enrollment ID | O20161019002767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346793932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A143593 (California) | Secondary |
| 208M00000X | Hospitalist | A143593 (California) | Primary |
| Provider Name | Farnoosh Taghadosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407199896 PECOS PAC ID: 3173826419 Enrollment ID: I20161019002933 |
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