Sourehnissani, Mehran

Sourehnissani, Mehran is an individual health care provider with primary practice located at 3451 W Century Blvd B-1, Inglewood CA 90303-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sourehnissani, Mehran can be contacted via phone (310) 677-9400.

Contact Information

Primary practice address
3451 W Century Blvd B-1 Inglewood CA 90303-1227
Phone: (310) 677-9400
Fax: (310) 677-9402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A68196 California

Profile Details

NPI number 1992745285
LBN Legal business name Sourehnissani, Mehran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 11th, 2008 - about 18 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 1992745285 NPPES
California MEDICAID 00A681960
California Other WA68196D

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