Schendel MD Broujerdi MD Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCHENDEL MD BROUJERDI MD INC

Practice address

881 Alma Real Dr
Suite 204
Pacific Palisades, CA 90272-3731

Phone

(310) 857-2088

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Ata Broujerdi, MD, DMD

Title

Medical Director

Phone

(310) 857-2088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1912272402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-857-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR",
            "address_2": "SUITE 204",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723731",
            "telephone_number": "310-857-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENDEL MD BROUJERDI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "BROUJERDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ATA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-857-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.