Raha Akhavana Inc. a Professional Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RAHA AKHAVANA INC. A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Concierge IV Nutrition

Practice address

9667 Brighton Way
Beverly Hills, CA 90210-5125

Phone

(424) 335-0260

Fax

(424) 335-0261

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. David Khosrow Hakimian

Title

Clerk

Phone

(424) 335-0260

Specialties & licenses 1

Addresses

Other names 1

• Concierge IV Nutrition Doing business as

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1982216214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9667 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105125",
            "telephone_number": "424-335-0260",
            "fax_number": "424-335-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9667 BRIGHTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105125",
            "telephone_number": "424-335-0260",
            "fax_number": "424-335-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHA AKHAVANA INC. A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KHOSROW",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "424-335-0260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge IV Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andre Rafael, L.AC., PH.D.
• Sheila Rafalian, PHARMD
• Lillian Leavitt Raffel, RN
• Benjamin Rafii, M.D.
• Brandon Rafison, DO
• William James Rahal, MD
• Mathew Rahban
• Shahrad Rady Rahban, MD
• Raheleh Sarbaziha MD Inc
• Mahtab Rahnama, PHARM D

• Primary Care Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.