| Shahla Rad, Md. Inc | |
|
8642a W Pico Blvd Los Angeles CA 90035-2314 | |
| (310) 289-1114 | |
| (310) 289-1119 |
| Full Name | Shahla Rad, Md. Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 8642a W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Shahla Rad (DIRECTOR) |
| Authorized Official Contact | 3102891114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahla Rad, Md. Inc Po Box 18059 Beverly Hills CA 90209-4059 Ph: (310) 289-1114 | Shahla Rad, Md. Inc 8642a W Pico Blvd Los Angeles CA 90035-2314 Ph: (310) 289-1114 |
| NPI Number | 1831393172 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831393172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | A48101 (California) | Primary |
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