Woodland Hills Medical Clinic Inc.

Primary specialty

Special HospitalTaxonomy code 284300000X

License

20A6577 Issued in CA

Legal business name

WOODLAND HILLS MEDICAL CLINIC INC.

Doing business as

Woodland Hills Medical Clinic

Practice address

19825 Ventura Blvd
Woodland Hills, CA 91364-2627

Phone

(818) 888-7009

Fax

(818) 888-7018

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hamid Reza Mirshojae, D.O

Title

Medical Director/ Owner

Phone

(818) 888-7009

Specialties & licenses 1

Addresses

Other names 1

• Woodland Hills Medical Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1073988614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19825 VENTURA BLVD.",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-888-7009",
            "fax_number": "818-888-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19825 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642627",
            "telephone_number": "818-888-7009",
            "fax_number": "818-888-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HILLS MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "MIRSHOJAE",
        "authorized_official_first_name": "HAMID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "818-888-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "20A6577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Special Hospital in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.