| Mahyar Ganjianpour, | |
|
16237 Ventura Blvd, Encino, CA 91436-2201 | |
| (818) 995-5000 | |
| Not Available |
| Full Name | Mahyar Ganjianpour |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 16237 Ventura Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487686846 | NPI | - | NPPES |
| AX82060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 20A8206 (California) | Primary |
| Entity Name | Mahyar Ganjianpour Do A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326243015 PECOS PAC ID: 1052326030 Enrollment ID: O20060213000306 |
| Entity Name | Dream Anesthesia A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912369414 PECOS PAC ID: 0547549370 Enrollment ID: O20161117001961 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahyar Ganjianpour, 5 Holland, Ste 101, Irvine, CA 92618-2568 Ph: (949) 588-2190 | Mahyar Ganjianpour, 16237 Ventura Blvd, Encino, CA 91436-2201 Ph: (818) 995-5000 |
Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722 | |
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Paul Konikoff, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 | |
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131 | |
Blaine T Zaid, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16311 Ventura Blvd, Ste.#1010, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 |