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Shahla Rad, Md. Inc
Rural Health Clinic/Center in Los Angeles, California
NPI 1831393172

Shahla Rad, Md. Inc is a Rural Health Clinic/Center based in Beverly Hills, CA and is specialized in Rural Health. Shahla Rad, Md. Inc practices in Los Angeles, CA. The NPI Number for Shahla Rad, Md. Inc is 1831393172 and holds a License No. A48101 (California).

The current practice location address for Shahla Rad, Md. Inc is 8642A W Pico Blvd, Los Angeles, CA and can be reached out via phone at 310-289-1114 and via fax at 310-289-1119.

Location: 8642A W Pico Blvd, Los Angeles, CA, 90209-4059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831393172
Provider Name
Shahla Rad, Md. Inc
Credential
Provider Entity Type
Organization
Address
8642A W Pico Blvd, Los Angeles, CA, 90209-4059
Phone Number
310-289-1114
Fax Number
310-289-1119
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8642A W Pico Blvd
City
Los Angeles
State
California
Zip
90035-2314
Phone Number
310-289-1114
Fax Number
310-289-1119
person
Provider Business Mailing Address Details
Address
8642A W Pico Blvd
City
Los Angeles
State
California
Zip
90035-2314
Phone Number
310-289-1114
Fax Number
310-289-1119
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
A48101 (California)
Definition
Definition to come...
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