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).
| 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 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Clinic/Center · Multi-Specialty | Ambulatory Health Care Facilities |
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
| 1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
| Find all providers in LOS ANGELES | ||||
| Street Address |
2011 WILSHIRE BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on Bobby Pezeshki Md Inc.
| 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.