Ghiassi, MD Incorporated

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

GHIASSI, MD INCORPORATED

Doing business as

Ghiassi MD Incorporated

Practice address

11645 Wilshire Blvd Ste 702
Los Angeles, CA 90025-6807

Phone

(310) 824-1262

Fax

(310) 824-5190

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Julee Medina

Title

Clinical Coordinator

Phone

(310) 824-1262

Specialties & licenses 1

Addresses

Other names 1

• Ghiassi MD Incorporated Doing business as

Locations

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1235606294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-824-1262",
            "fax_number": "310-824-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-824-1262",
            "fax_number": "310-824-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHIASSI, MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JULEE",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "310-824-1262"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ghiassi MD Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arash Gheytanchi, PSYCHOLOGIST
• Chantelle Asal Ghiam, DDS MS
• Jonathan Ghiam, D.O.
• Michael Kourosh Ghiam, M.D.
• Alidad Ghiassi, M.D.
• Bryan Ghiossi, PT
• Micky K Ghirmay, RN
• Allen Ghlandian, MD
• Alexandra Ghobrial
• Andrew Ghobrial, MD

• Orthopaedic Hand Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.