Medicus Telehealth Inc.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

MEDICUS TELEHEALTH INC.

Practice address

180 N Rexford Dr
Beverly Hills, CA 90210-5406

Phone

(310) 709-7355

NPI assigned

Jul 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shahrouz Ghodsian, MDNPI 1861404535

Title

Ceo

Phone

(310) 709-7355

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahrouz Y. Ghodsian, MD

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1861404535

  Addiction Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562976000000",
    "number": "1902458540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N REXFORD DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105406",
            "telephone_number": "310-709-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N REXFORD DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105406",
            "telephone_number": "310-709-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS TELEHEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "SHAHROUZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-709-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.