| Mahdi Paridari, M.d. Inc. | |
|
22030 Sherman Way Ste 105 Canoga Park CA 91303-3016 | |
| (818) 585-5595 | |
| (818) 887-1805 |
| Full Name | Mahdi Paridari, M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 22030 Sherman Way Ste 105, Canoga Park, California |
| Authorized Official Name and Position | Mahdi Paridari (PRESIDENT) |
| Authorized Official Contact | 18185855595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahdi Paridari, M.d. Inc. 22405 Gilmore St West Hills CA 91307-3707 Ph: (818) 585-5595 | Mahdi Paridari, M.d. Inc. 22030 Sherman Way Ste 105 Canoga Park CA 91303-3016 Ph: (818) 585-5595 |
| NPI Number | 1902046428 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 03/18/2009 |
| Medicare PECOS PAC ID | 8325105901 |
|---|---|
| Medicare Enrollment ID | O20090326000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902046428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A98666 (California) | Primary |
| Provider Name | Mahdi Paridari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669689451 PECOS PAC ID: 8123101037 Enrollment ID: I20080215000461 |
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