Estiandan's Medical Group, Inc.

NPI 1457440497

Information of Estiandan's Medical Group, Inc.

The NPI 1457440497 is an Organization type. NPI No 1457440497 belongs to Estiandan's Medical Group, Inc.. Estiandan's Medical Group, Inc. specializes in Internal Medicine. is practising at 2115 Beverly Blvd, Los Angeles, California 90057. You can also contact him via phone number (213) 483-6080.

Practice address located

  • 2115 Beverly Blvd
  • Los Angeles, California 90057
  • (213) 483-6080
  • (213) 483-6080

Mailling address located

  • 2115 Beverly Blvd
  • Los Angeles, California 90057
  • (213) 483-6080
  • (213) 483-6234
NPI No 1457440497
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
n/a207Q00000XFamily MedicineA38326California
n/a207R00000XInternal MedicineA38326California
n/a208VP0000XPain MedicineA38326California
Identifier for this provider
StateIdentifierTypeIssuer
CAA85122Medicare UPINn/a
CAW16688Medicare ID-Type Unspecifiedn/a
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