Organization Active NPI

Mehrad Wosochi LLC

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1215334677
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A73291 Issued in CA
Legal business name
MEHRAD WOSOCHI LLC
Practice address
8306 Wilshire Blvd # 539
Beverly Hills, CA 90211-2304
Phone
(310) 556-7747
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Mehrdad Vosoghi, M.D.
Title
President
Phone
(310) 556-7747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A73291 CA Primary

Addresses

Primary practice location

8306 Wilshire Blvd # 539
Beverly Hills, CA 90211-2304

Mailing address

8306 Wilshire Blvd # 539
Beverly Hills, CA 90211-2304
Phone (310) 556-7747

Other identifiers 1

IdentifierTypeStateIssuer
A73291OtherCALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1215334677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD # 539",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112304",
            "telephone_number": "310-556-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 WILSHIRE BLVD # 539",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112304",
            "telephone_number": "310-556-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAD WOSOCHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "VOSOGHI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-556-7747",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A73291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A73291",
            "state": "CA"
        }
    ],
    "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 Dec 1, 2014; 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.