| Dr Sasan Massachi Inc | |
|
2080 Century Park E Ste 1609 Los Angeles CA 90067-2019 | |
| (310) 553-3013 | |
| (310) 286-2184 |
| Full Name | Dr Sasan Massachi Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2080 Century Park E Ste 1609, Los Angeles, California |
| Authorized Official Name and Position | Sasan Massachi (MEDICAL PHYSICIAN) |
| Authorized Official Contact | 3105533013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sasan Massachi Inc 2080 Century Park E Ste 1609 Los Angeles CA 90067-2019 Ph: (310) 553-3013 | Dr Sasan Massachi Inc 2080 Century Park E Ste 1609 Los Angeles CA 90067-2019 Ph: (310) 553-3013 |
| NPI Number | 1881909588 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 3072708437 |
|---|---|
| Medicare Enrollment ID | O20101110001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881909588 | NPI | - | NPPES |
| 1134378763 | Other | CA | NPI 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A108123 (California) | Primary |
| Provider Name | Sasan Massachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134378763 PECOS PAC ID: 8921293382 Enrollment ID: I20101110001347 |
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