Active NPI
Sophia Saeedian Kangarlu MD Inc
- Internal Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1093095853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A74483
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.