SHAHAB MEHDIZADEH MD INC (NPI# 1568669596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568669596 |
| Entity Type | Organization |
| Organization Name | SHAHAB MEHDIZADEH MD INC |
| Practice Address |
240 S La Cienega Blvd 102 Beverly Hills CA 90211-3324 |
| Practice Telephone | 3102464100 |
| Practice Fax Number | 3102852029 |
| Mailing Telephone | 3102464100 |
| Mailing Fax Number | 3102852029 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | DR. SHAHAB MEHDIZADEH (PRESIDENT) |
| Authorized Official Telephone | 3102464100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A76490 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | A76490 | 01 |
| Street Address |
240 S LA CIENEGA BLVD 102 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852148 | Frank K Kwong | Pediatrics | 240 S La Cienega Blvd, Ste 101, Beverly Hills, CA 90211-3313 | 2005-06-27 |
| 1588017693 | Jennifer Rebecca Afari | Physician Assistant | 240 S La Cienega Blvd, Beverly Hills, CA 90211-3324 | 2016-07-14 |
| 1215387741 | Hepps Prescription Pharmacy | Pharmacist | 240 S La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-3324 | 2016-06-15 |
| 1053628511 | Payman Vahedifar A Professional Medical Corporation | Internal Medicine | 240 S La Cienega Blvd, Suite 102, Beverly Hills, CA 90211-3324 | 2010-09-04 |
| 1235442765 | Dan Wu | Acupuncturist | 240 S La Cienega Blvd, Suite 104, Beverly Hills, CA 90211-3324 | 2010-07-26 |
| 1235463472 | Laser Eye Associates, Inc. | Clinic/Center | 240 S La Cienega Blvd, Suite 200, Beverly Hills, CA 90211-3324 | 2009-09-21 |
| 1538393343 | Derrick Tang | Chiropractor | 240 S La Cienega Blvd, Suite 350, Beverly Hills, CA 90211-3324 | 2009-05-07 |
| 1003064650 | Frank K Kwong Inc | Allergy & Immunology | 240 S La Cienega Blvd, Suite 101, Beverly Hills, CA 90211-3324 | 2008-09-08 |
| 1750560942 | David Dardashti D.p.m. Apc | Clinic/Center | 240 S La Cienega Blvd, Suite 300, Beverly Hills, CA 90211-3324 | 2007-10-24 |
| 1679780423 | Boris Zaks, Md Inc | Dermatology | 240 S La Cienega Blvd, Suite 400, Beverly Hills, CA 90211-3324 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756164 | Seper Dezfoli, Md, Inc | Internal Medicine | 150 N Robertson Blvd Ste 204, Beverly Hills, CA 90211-2144 | 2018-07-18 |
| 1215334677 | Mehrad Wosochi LLC | Internal Medicine | 8306 Wilshire Blvd # 539, Beverly Hills, CA 90211-2304 | 2014-12-01 |
| 1376573238 | Carey Strom M.d. Apc | Internal Medicine | 9090 Wilshire Blvd Ste 101, Beverly Hills, CA 90211 | 2006-07-04 |
| 1346754983 | Christine Lorraine Roth | Internal Medicine | 9033 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-1836 | 2017-11-17 |
| 1558729459 | Gastroenterology Institute of Southern California | Internal Medicine | 150 N Robertson Blvd, Suite 204, Beverly Hills, CA 90211-2142 | 2016-02-05 |
| 1881068807 | Gastroenterology Hospitalist Associates Inc | Internal Medicine | 9033 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-1837 | 2015-11-16 |
| 1487044384 | Santa Monica Gi Medical Group | Internal Medicine | 200 N Robertson Blvd, Suite 100, Beverly Hills, CA 90211-1769 | 2015-01-29 |
| 1063759967 | Center for Gi Weight Loss | Internal Medicine | 9730 Wilshire Blvd, Suite 115, Beverly Hills, CA 90212-2022 | 2013-01-11 |
| 1427324516 | Lisa Lin | Internal Medicine | 8641 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-2920 | 2012-03-22 |
| 1912294604 | Elal Medical Inc A Professional Corporation | Internal Medicine | 9001 Wilshire Blvd Ste 106, Beverly Hills, CA 90211-1839 | 2011-07-01 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on SHAHAB MEHDIZADEH 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.