DR. ESHAGH ISAAC ESHAGHPOUR (NPI# 1366419426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366419426 |
| Entity Type | Individual |
| Full Name | DR. ESHAGH ISAAC ESHAGHPOUR |
| Credential | M.D. |
| Practice Address |
8631 W. Third Street Suite 444e Los Angeles CA 90048 |
| Mailing Address |
P.o. Box 18061 Beverly Hills CA 90209-4061 |
| Practice Telephone | 3108559055 |
| Practice Fax Number | 3108559011 |
| Mailing Telephone | 3108559055 |
| Mailing Fax Number | 3108559011 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
C50569 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDI-CAL | 5890835 | 01 | |
| CA | 00C50569 | 05 |
| Street Address |
8631 W. THIRD STREET SUITE 444E |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760406250 | Comprehensive Urology Medical Group | Specialist | 8631 W. Third Street, Suite# 715, Los Angeles, CA 90048-5901 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751540 | Guillermo A. Young, Md Inc | Pediatrics | 1300 N Vermont Ave Ste 402, Los Angeles, CA 90027-6086 | 2019-10-16 |
| 1346511235 | Apichai Khongphatthanayothin | Pediatrics | 2020 Zonal Ave, Ird Room 111, Los Angeles, CA 90033 | 2012-01-24 |
| 1831343086 | Shyamasundar Balasubramanya | Pediatrics | 10833 Le Conte Ave Ste 62-246, Los Angeles, CA 90095-1676 | 2008-11-13 |
| 1235225921 | Jondavid Menteer | Pediatrics | 6450 W Sunset Blvd, Ms# 34, Los Angeles, CA 90028-7315 | 2006-10-04 |
| 1649207994 | California Fetal and Pediatric Cardiology, Inc | Pediatrics | 11625 Montana Ave Apt 214, Los Angeles, CA 90049-4683 | 2006-06-26 |
| 1366416497 | Ruchira Garg | Pediatrics | 127 S. San Vicente Boulevard, A3600, Los Angeles, CA 90048 | 2006-02-15 |
| 1558348706 | Mahnaz Tabibian | Pediatrics | 10833 Lecont Ave, Department of Pediatrics, Los Angeles, CA 90095-1752 | 2005-12-29 |
| 1760952394 | Paul Fraser Kantor | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2018-11-27 |
| 1225473077 | Matthew Richard Russell | Pediatrics | 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095-7419 | 2013-05-07 |
| 1730454810 | Mark Harris Shwayder | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2012-03-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on DR. ESHAGH ISAAC ESHAGHPOUR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.