Organization Active NPI

Amada Health Ghalchi

  • Exclusive Provider Organization
  • Los Angeles, CA
National Provider Identifier
1497426654
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
AMADA HEALTH GHALCHI
Practice address
12424 Wilshire Blvd FL 12
Los Angeles, CA 90025-1052
Phone
(818) 613-6789
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Parviz S Shour
Title
Director
Phone
(818) 613-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

12424 Wilshire Blvd FL 12
Los Angeles, CA 90025-1052

Mailing address

820 N Whittier Dr
Beverly Hills, CA 90210-3044

National Provider Directory

National Provider Directory

Locations

12424 Wilshire Blvd
Fl 12
Los Angeles, CA 90025
Phone (818) 613-6789

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1497426654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N WHITTIER DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD FL 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251052",
            "telephone_number": "818-613-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADA HEALTH GHALCHI",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "SHOUR",
        "authorized_official_first_name": "PARVIZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-613-6789"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "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 Sep 27, 2021; 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.