SEPEHR KATIRAIE MD INC. (NPI# 1508136326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508136326 |
| Entity Type | Organization |
| Organization Name | SEPEHR KATIRAIE MD INC. |
| Other Organization Name | SAN MIGUEL MEDICAL CENTER |
| Practice Address |
2625 E Florence Ave Ste D Huntington Park CA 90255-4756 |
| Mailing Address |
724 N Elm Dr Beverly Hills CA 90210-3423 |
| Practice Telephone | 3235883800 |
| Practice Fax Number | 3232770399 |
| Mailing Telephone | 3235883800 |
| Mailing Fax Number | 3232770399 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | DR. SEPEHR KATIRAIE (OWNER) |
| Authorized Official Telephone | 3235883800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A54478 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | A54478 | 05 |
| Other Name | Type Code |
|---|---|
| San Miguel Medical Center | Former Legal Business Name - Organization |
| Street Address |
2625 E FLORENCE AVE STE D |
| City | HUNTINGTON PARK |
| State | CA |
| Zip Code | 90255-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084213 | Sepehr Katiraie | Family Medicine | 2625 E Florence Ave Ste D, Huntington Park, Huntington Park, CA 90255-4756 | 2006-05-25 |
| 1164689048 | San Miguel Urgent Care | Point of Service | 2625 E Florence Ave Ste D, Huntington Park, CA 90255-4756 | 2008-05-19 |
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|---|---|---|---|---|
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| 1356803555 | Cdf Centro De Desarrollo Familiar | Social Worker | 2677 Zoe Ave Suite 120, Huntington Park, CA 90255 | 2019-04-05 |
| 1710457908 | Toure Marshawn Curry | Rehabilitation Practitioner | 2677 Zoe Ave #304, Huntington Park, CA 90255 | 2018-11-29 |
| 1508366584 | Kalie Marie Baker | Optometrist | 2614 Gage Ave, Huntington Park, CA 90255 | 2018-02-16 |
| 1134633027 | Alicia Rizkalla | Case Manager/Care Coordinator | Altamed Pace, 1900 Slauson Street, Huntington Park, CA 90255 | 2017-11-30 |
| 1205353760 | All Care One Community Health Center | Chiropractor | 7300 Santa Fe Avenue, Huntington Park, CA 90255 | 2017-08-25 |
| 1447613559 | Peter Vue | Respiratory Therapist, Certified | 6208 Seville Ave., Huntington Park, CA 90255 | 2016-04-05 |
| 1558720029 | Dr. Edmond Janfaza Dds, Inc. | Dentist | 2675 E. Slauson Ave, #300, Huntington Park, CA 90255 | 2016-02-12 |
| 1649650979 | Samuel Zaki Dds Inc | Dentist | 7221 Pacific Blvd, Huntington Park, CA 90255 | 2015-06-02 |
| 1376945808 | Karla Zuniga | Case Manager/Care Coordinator | 3638 E 61st Street, Huntington Park, CA 90255 | 2014-09-16 |
| Find all providers in zip 90255 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1861758492 | Salud Digna, Inc. | Clinic/Center | 5900 Pacific Blvd Ste 101, Huntington Park, CA 90255-2736 | 2012-04-09 |
| 1376851428 | George A. Bernales, M.d.,inc. | Clinic/Center | 2766 E Florence Ave, Huntington Park, CA 90255-5747 | 2010-09-22 |
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| 1306498373 | John Paul II Medical Clinic Inc A Professional Corporation | Clinic/Center | 6529 Seville Ave, Huntington Park, CA 90255-4208 | 2019-07-10 |
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| City | HUNTINGTON PARK |
| Zip Code | 90255 |
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| 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.