Basic Information
| Provider Information | |||||||||
| NPI: | 1942680814 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MICHAEL TEHRANI MD APC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10540 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 501 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900244502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109759690 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10540 WILSHIRE BLVD | ||||||||
| Address2: | SUITE 501 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900244502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109759690 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2015 | ||||||||
| LastUpdateDate: | 06/04/2015 | ||||||||
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| AuthorizedOfficialLastName: | TEHRANI | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3109759690 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | A128457 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.