<Unavail>

LBN: Medwise Medical Clinic, Inc
<Unavail> is an health care organization with primary practice located at 540 N Central Ave Suite 203, Glendale CA 91203-1916. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Medwise Medical Clinic, Inc can be contacted via phone (818) 242-0500, or through Eivazzadeh, Shaliman via phone (818) 242-0500.

Contact Information

Primary practice address
540 N Central Ave Suite 203 Glendale CA 91203-1916
Phone: (818) 242-0500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eivazzadeh, Shaliman Doctor of Medicine (MD)
Phone: (818) 242-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A42072 California

Profile Details

NPI number 1609813096
LBN Legal business name Medwise Medical Clinic, Inc
DBA Doing business as <Unavail>
Authorized official Eivazzadeh, Shaliman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609813096 NPPES
California MEDICAID 00A420721

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