Akbar Attary, M.D.

Individual provider Active NPI Internal Medicine Physician · Montebello, CA

NPI 1104181023 · NPPES record last updated Apr 22, 2014

Key facts

NPI
1104181023
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
C50255 (CA)
Practice address
2011 W Whittier Blvd
Montebello, CA 90640-4010
Phone
(323) 767-5141
Fax
(323) 767-5142
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50255CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Community Medical Care Corp Past Accepting new patients
San Andres Medical Clinic Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C50255 CA Yes

Addresses

Primary practice location

2011 W Whittier Blvd
Montebello, CA 90640-4010

Mailing address

2011 W Whittier Blvd
Montebello, CA 90640-4010
Phone (323) 767-5141

Other identifiers

IdentifierTypeStateIssuer
C50255OtherCACALIFORNIA

Other providers in Montebello, CA

All providers in Montebello, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.