Shadi Yaghoubian Md Inc | |
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
(512) 588-5280 | |
Not Available |
Full Name | Shadi Yaghoubian Md Inc |
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Speciality | Hospitalist |
Location | 8700 Beverly Blvd, West Hollywood, California |
Authorized Official Name and Position | Shadi Yaghoubian (OWNER) |
Authorized Official Contact | 3108019226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shadi Yaghoubian Md Inc 8549 Wilshire Blvd Suite 652 Beverly Hills CA 90211-3104 Ph: () - | Shadi Yaghoubian Md Inc 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (512) 588-5280 |
NPI Number | 1790167021 |
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Provider Enumeration Date | 06/23/2015 |
Last Update Date | 06/26/2015 |
Medicare PECOS PAC ID | 1658687793 |
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Medicare Enrollment ID | O20150903001266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790167021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A131868 (California) | Secondary |
208M00000X | Hospitalist | A131868 (California) | Primary |
Provider Name | Shadi Yaghoubian |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477811891 PECOS PAC ID: 4385950435 Enrollment ID: I20150903001375 |
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