| Shadiar Ohadi Do, Pc | |
|
99 N La Cienega Blvd Ste # 109 Beverly Hills CA 90211-2222 | |
| (818) 848-4400 | |
| Not Available |
| Full Name | Shadiar Ohadi Do, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 99 N La Cienega Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Shadiar Ohadi (PRESIDENT) |
| Authorized Official Contact | 8188484400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadiar Ohadi Do, Pc 99 N La Cienega Blvd Ste # 109 Beverly Hills CA 90211-2222 Ph: (818) 848-4400 | Shadiar Ohadi Do, Pc 99 N La Cienega Blvd Ste # 109 Beverly Hills CA 90211-2222 Ph: (818) 848-4400 |
| NPI Number | 1093048084 |
|---|---|
| Provider Enumeration Date | 09/09/2009 |
| Last Update Date | 09/09/2009 |
| Medicare PECOS PAC ID | 6406997782 |
|---|---|
| Medicare Enrollment ID | O20100108000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093048084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8036 (California) | Primary |
| Provider Name | Shadiar Ohadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750314415 PECOS PAC ID: 8820066285 Enrollment ID: I20040922001254 |
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