Heidarali Sahebekhtiari M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A33162 Issued in CA

Legal business name

HEIDARALI SAHEBEKHTIARI M.D., INC.

Practice address

1433 N Hollenbeck Ave
Ste# 104
Covina, CA 91722-1543

Phone

(626) 818-8841

Fax

(626) 332-6587

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Heidarali Sahebekhtiari

Title

Owner

Phone

(626) 818-8841

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1457599268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 TERRADO PLAZA",
            "address_2": "STE# 40",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233445",
            "telephone_number": "626-332-0556",
            "fax_number": "626-332-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE",
            "address_2": "STE# 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221543",
            "telephone_number": "626-818-8841",
            "fax_number": "626-332-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDARALI SAHEBEKHTIARI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "SAHEBEKHTIARI",
        "authorized_official_first_name": "HEIDARALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-818-8841",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Covina, CA
• Providers in Covina, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.