Iradj Nazarian Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IRADJ NAZARIAN MEDICAL GROUP, INC.

Practice address

1241 S Glendale Ave # 201
Glendale, CA 91205-3385

Phone

(818) 244-5444

Fax

(818) 243-0193

NPI assigned

Nov 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Iradj Nazarian, MD

Title

Ceo

Phone

(818) 244-5444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1619410503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE # 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385",
            "telephone_number": "818-244-5444",
            "fax_number": "818-243-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GLENDALE AVE # 201",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053385",
            "telephone_number": "818-244-5444",
            "fax_number": "818-243-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRADJ NAZARIAN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "IRADJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-244-5444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.