Organization Active NPI

Sophia Saeedian Kangarlu MD Inc

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1093095853
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A74483 Issued in CA
Legal business name
SOPHIA SAEEDIAN KANGARLU MD INC
Practice address
9025 Wilshire Blvd
Suite 301
Beverly Hills, CA 90211-1831
Phone
(310) 246-9625
Fax
(310) 246-9988
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Dr. Sophia Saeedian Kangarlu, MD
Title
Medical Director
Phone
(310) 246-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A74483 CA Primary

Addresses

Primary practice location

9025 Wilshire Blvd
Suite 301
Beverly Hills, CA 90211-1831

Mailing address

9025 Wilshire Blvd
Suite 301
Beverly Hills, CA 90211-1831
Phone (310) 246-9625

National Provider Directory

National Provider Directory

Locations

9025 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 246-9625

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1093095853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-246-9625",
            "fax_number": "310-246-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-246-9625",
            "fax_number": "310-246-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA SAEEDIAN KANGARLU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "KANGARLU",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "SAEEDIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-246-9625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.