NPIMap

Organization Active NPI

Abolghasem M. Tehrani MD, Inc.

  • Psychiatry Physician
  • Glendale, CA
National Provider Identifier
1568523686
Registry record updated Oct 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A38064 Issued in CA
Legal business name
ABOLGHASEM M. TEHRANI MD, INC.
Practice address
222 W Eulalia St
Suite 301
Glendale, CA 91204-2849
Phone
(818) 240-0108
Fax
(818) 240-0301
NPI assigned
Dec 12, 2006
Last updated
Oct 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2007

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

Authorized official

Name
Dr. Abolghasem Tehrani, M.D.
Title
Owner
Phone
(818) 240-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A38064 CA Primary

Addresses

Primary practice location

222 W Eulalia St
Suite 301
Glendale, CA 91204-2849

Mailing address

222 W Eulalia St
Suite 301
Glendale, CA 91204-2849
Phone (818) 240-0108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191715200000",
    "number": "1568523686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W EULALIA ST",
            "address_2": "SUITE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042849",
            "telephone_number": "818-240-0108",
            "fax_number": "818-240-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOLGHASEM M. TEHRANI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-07",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "ABOLGHASEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-240-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A38064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2007; 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.