Nazarian, Iradj H

Nazarian, Iradj H is an sole proprietor health care provider with primary practice located at 7136 Pacific Blvd Ste 225, Huntington Park CA 90255-4783. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Nazarian, Iradj H can be contacted via phone (323) 588-5467.

Contact Information

Primary practice address
7136 Pacific Blvd Ste 225 Huntington Park CA 90255-4783
Phone: (323) 588-5467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A43573 California

Profile Details

NPI number 1083753321
LBN Legal business name Nazarian, Iradj H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Mar 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083753321 NPPES
California Other 05D0700622 CLIA #
California MEDICAID 00A435731 CLIA #

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