| Sequoia Quality Health Inc | |
|
2007 Wilshire Blvd Fl 3 Los Angeles CA 90057-3519 | |
| (818) 300-8993 | |
| (800) 545-0866 |
| Full Name | Sequoia Quality Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2007 Wilshire Blvd Fl 3, Los Angeles, California |
| Authorized Official Name and Position | Benjamin Bijan Pezeshki (CEO) |
| Authorized Official Contact | 2132051890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Quality Health Inc 2011 Wilshire Blvd # 300 Los Angeles CA 90057-3503 Ph: (818) 300-8993 | Sequoia Quality Health Inc 2007 Wilshire Blvd Fl 3 Los Angeles CA 90057-3519 Ph: (818) 300-8993 |
| NPI Number | 1164061461 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/28/2021 |
| Medicare PECOS PAC ID | 4183052210 |
|---|---|
| Medicare Enrollment ID | O20200323003351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164061461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nima Golzy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790149094 PECOS PAC ID: 7911244553 Enrollment ID: I20191114002958 |
| Provider Name | Benjamin Bijan Pezeshki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578099669 PECOS PAC ID: 3173864774 Enrollment ID: I20200514000359 |
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