Bobby Pezeshki Md Inc
Clinic/Center (Multi-Specialty)

Address: 2011 Wilshire Blvd Ste 300, Los Angeles, CA 90057-3503
Phone: 2134132700

Bobby Pezeshki Md Inc (NPI# 1164999215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1164999215
Entity Type Organization
Organization Name BOBBY PEZESHKI MD INC
Practice Address 2011 Wilshire Blvd Ste 300
Los Angeles
CA 90057-3503
Practice Telephone 2134132700
Practice Fax Number 2134136722
Mailing Address 2007 Wilshire Blvd Ste 300
Los Angeles
CA 90057-3506
Mailing Telephone 2134132700
Mailing Fax Number 2134136722
Authorized Official Name Dr. Babak Pezeshki (CEO/MEDICAL DIRECTOR)
Authorized Official Telephone 2134132700
Authorized Official Credential MD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-10-26
Last Update Date 2018-11-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM1300X Clinic/Center · Multi-Specialty Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2011 WILSHIRE BLVD STE 300
City LOS ANGELES
State CA
Zip Code 90057-3503

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Competitor

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City LOS ANGELES
Zip Code 90057

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Dataset Information

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.