Organization Active NPI

H G Ziaee MD Corp

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1184867624
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A89604 Issued in CA
Legal business name
H G ZIAEE MD CORP
Practice address
12212 W Washington Blvd
Los Angeles, CA 90066-5508
Phone
(310) 391-5241
Fax
(310) 397-4324
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Hosseingholi Ziaee, M.D.
Title
President
Phone
(818) 342-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A89604 CA Primary

Addresses

Primary practice location

12212 W Washington Blvd
Los Angeles, CA 90066-5508

Mailing address

5258 Newcastle Ave
# 20
Encino, CA 91316-3078
Phone (818) 342-5771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1184867624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 NEWCASTLE AVE",
            "address_2": "# 20",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163078",
            "telephone_number": "818-342-5771",
            "fax_number": "818-342-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665508",
            "telephone_number": "310-391-5241",
            "fax_number": "310-397-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H G ZIAEE MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "ZIAEE",
        "authorized_official_first_name": "HOSSEINGHOLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-342-5771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A89604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.