institution
Shahla Kohanzadeh Md Medical Corporation
Primary Care Clinic/Center in Los Angeles, California
NPI 1891086716

Shahla Kohanzadeh Md Medical Corporation is a Primary Care Clinic/Center based in Los Angeles, CA and is specialized in Primary Care. Shahla Kohanzadeh Md Medical Corporation practices in Los Angeles, CA. The NPI Number for Shahla Kohanzadeh Md Medical Corporation is 1891086716 and holds a License No. A47964 (California).

The current practice location address for Shahla Kohanzadeh Md Medical Corporation is 803 S Alvarado St, Los Angeles, CA and can be reached out via phone at 213-381-1117 and via fax at 213-381-5903.

Location: 803 S Alvarado St, Los Angeles, CA, 90057-4009
institution
Provider Profile Details
NPI Number
1891086716
Provider Name
Shahla Kohanzadeh Md Medical Corporation
Credential
Provider Entity Type
Organization
Address
803 S Alvarado St, Los Angeles, CA, 90057-4009
Phone Number
213-381-1117
Fax Number
213-381-5903
Provider Enumeration Date
04/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A479640 05 CA
institution
Provider Business Practice Location Address Details
Address
803 S Alvarado St
City
State
Zip
90057-4009
Phone Number
213-381-1117
Fax Number
213-381-5903
person
Provider Business Mailing Address Details
Address
803 S Alvarado St
City
State
Zip
90057-4009
Phone Number
213-381-1117
Fax Number
213-381-5903
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A47964 (California)
Definition
Definition to come...
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