Alireza Pakkar MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A56491 Issued in CA

Legal business name

ALIREZA PAKKAR MD INC

Practice address

10921 Wilshire Blvd
Suite 412a
Los Angeles, CA 90024-3906

Phone

(310) 301-3037

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Alireza Pakkar, M.D.

Title

President

Phone

(310) 301-3037

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1164683090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 412A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "SUITE 412A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243906",
            "telephone_number": "310-301-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA PAKKAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PAKKAR",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-301-3037",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.