Iradj H Nazarian MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A43573 Issued in CA

Legal business name

IRADJ H NAZARIAN MD INC

Practice address

7136 Pacific Blvd
Ste 225
Huntington Park, CA 90255-4783

Phone

(323) 584-8818

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Iradj H Nazarian, MD

Title

Owner

Phone

(323) 584-8818

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1619020724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 PACIFIC BLVD",
            "address_2": "STE 225",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554783",
            "telephone_number": "323-584-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 PACIFIC BLVD",
            "address_2": "STE 225",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554783",
            "telephone_number": "323-584-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRADJ H NAZARIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "IRADJ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-584-8818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0700622",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A435731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.