ALI GOLSHAN MD INC (NPI# 1366981581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366981581 |
| Entity Type | Organization |
| Organization Name | ALI GOLSHAN MD INC |
| Practice Address |
11633 San Vicente Blvd Ste 240 Los Angeles CA 90049-6513 |
| Mailing Address |
1626 Montana Ave Ste 629 Santa Monica CA 90403-1808 |
| Practice Telephone | 3109748767 |
| Practice Fax Number | 3104962722 |
| Mailing Telephone | 3104220487 |
| Mailing Fax Number | 9495028887 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | DR. ALI GOLSHAN (CEO) |
| Authorized Official Telephone | 3104220487 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A108102 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10601 Walker St Ste 100, Cypress, CA 906304744 | 3104220487 | 9495028887 |
| Street Address |
11633 SAN VICENTE BLVD STE 240 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083999429 | Nancy Louise Ronne | Social Worker | 11633 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6513 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1801138151 | Noah A Brauner | Radiology | 1200 N State Street, D&t 3d321, Los Angeles, CA 90033 | 2013-03-25 |
| 1346508827 | Frank Hao | Radiology | 11301 Wilshire Blvd # 114, Los Angeles, CA 90073-1003 | 2012-05-02 |
| 1578882965 | Pacific Vascucare, Inc. | Radiology | 1660 W 3rd St, Los Angeles, CA 90017-1138 | 2010-05-25 |
| 1841348711 | Ata Daniel Rezvanpour | Radiology | 6041 Cadillac Ave., Los Angeles, CA 90034-1702 | 2007-01-08 |
| 1730649120 | Elizabeth Herzog | Radiology | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2019-03-21 |
| 1902332471 | Peter Hu | Radiology | 1200 N. State Street, D&t 3d321, Los Angeles, CA 90033 | 2017-05-03 |
| 1982135315 | Shimwoo Lee | Radiology | 757 Westwood Plz Ste 1638, Los Angeles, CA 90095-2302 | 2017-03-27 |
| 1891140844 | Brian Boa-yen Ng | Radiology | 1200 N State St, Los Angeles, CA 90033-1029 | 2016-04-27 |
| 1386007391 | Kabir Suri | Radiology | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2016-03-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on ALI GOLSHAN MD INC.
| 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.