| Jonathan S Pourmorady Md Corp | |
|
8631 W 3rd St Ste 1015e Los Angeles CA 90048-5913 | |
| (310) 933-3229 | |
| Not Available |
| Full Name | Jonathan S Pourmorady Md Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 8631 W 3rd St Ste 1015e, Los Angeles, California |
| Authorized Official Name and Position | Jonathan Pourmorady (MD) |
| Authorized Official Contact | 3109333229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan S Pourmorady Md Corp 8424 A Santa Monica Blvd Box #164 West Hollywood CA 90069 Ph: () - | Jonathan S Pourmorady Md Corp 8631 W 3rd St Ste 1015e Los Angeles CA 90048-5913 Ph: (310) 933-3229 |
| NPI Number | 1942807300 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 2860804986 |
|---|---|
| Medicare Enrollment ID | O20201215000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942807300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Ted Farzaneh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225588510 PECOS PAC ID: 5890073712 Enrollment ID: I20180606002821 |
| Provider Name | Jonathan S Pourmorady |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487097119 PECOS PAC ID: 5597059220 Enrollment ID: I20191003000547 |
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