Active NPI
Iraj Nazarian MD, Inc Medical Clinic
- Point of Service
- Huntington Park, CA
National Provider Identifier
1306041074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- A43573
- Legal business name
- IRAJ NAZARIAN MD, INC MEDICAL CLINIC
- Practice address
- 7136 Pacific Blvd
Suite # 225
Huntington Park, CA 90255-4783 - Phone
- (310) 991-4950
- Fax
- (323) 249-0469
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Iraj Nazarian, MD
- Title
- Owner
- Phone
- (310) 991-4950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | A43573 | CA | Primary |
Addresses
Primary practice location
7136 Pacific Blvd
Suite # 225
Huntington Park, CA 90255-4783
Mailing address
641 North Doheny Drive
Beverly Hills, CA 90210
Phone (310) 991-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A43573 | Other | CA | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Huntington Park, CA
- NPI 1083753321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1306041074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 NORTH DOHENY DRIVE",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-991-4950",
"fax_number": "323-249-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7136 PACIFIC BLVD",
"address_2": "SUITE # 225",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554783",
"telephone_number": "310-991-4950",
"fax_number": "323-249-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRAJ NAZARIAN MD, INC MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NAZARIAN",
"authorized_official_first_name": "IRAJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-991-4950",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "A43573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A43573",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.