| Sepehr Katiraie Md Inc. | |
|
2625 E Florence Ave Ste D Huntington Park CA 90255-4756 | |
| (323) 588-3800 | |
| (323) 277-0399 |
| Full Name | Sepehr Katiraie Md Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2625 E Florence Ave Ste D, Huntington Park, California |
| Authorized Official Name and Position | Sepehr Katiraie (OWNER) |
| Authorized Official Contact | 3235883800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sepehr Katiraie Md Inc. 724 N Elm Dr Beverly Hills CA 90210-3423 Ph: (323) 588-3800 | Sepehr Katiraie Md Inc. 2625 E Florence Ave Ste D Huntington Park CA 90255-4756 Ph: (323) 588-3800 |
| NPI Number | 1508136326 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 08/09/2012 |
| Medicare PECOS PAC ID | 7214192129 |
|---|---|
| Medicare Enrollment ID | O20120627000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508136326 | NPI | - | NPPES |
| A54478 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A54478 (California) | Primary |
| Provider Name | Sepehr Katiraie |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225084213 PECOS PAC ID: 4284711615 Enrollment ID: I20120627000445 |
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