Iradj H Nazarian Md Inc | |
7136 Pacific Blvd Ste 225 Huntington Park CA 90255-4783 | |
(323) 584-8818 | |
Not Available |
Full Name | Iradj H Nazarian Md Inc |
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Speciality | General Practice |
Location | 7136 Pacific Blvd, Huntington Park, California |
Authorized Official Name and Position | Iradj H Nazarian (OWNER) |
Authorized Official Contact | 3235848818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iradj H Nazarian Md Inc 7136 Pacific Blvd Ste 225 Huntington Park CA 90255-4783 Ph: (323) 584-8818 | Iradj H Nazarian Md Inc 7136 Pacific Blvd Ste 225 Huntington Park CA 90255-4783 Ph: (323) 584-8818 |
NPI Number | 1619020724 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 07/30/2008 |
Medicare PECOS PAC ID | 4789708363 |
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Medicare Enrollment ID | O20100903000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619020724 | NPI | - | NPPES |
05D0700622 | Other | CA | CLIA |
00A435731 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A43573 (California) | Primary |
Provider Name | Iradj H Nazarian |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083753321 PECOS PAC ID: 4880671924 Enrollment ID: I20040706001354 |
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