| Khosro Vahid, M.d. A Medical Corporation | |
|
2121 S San Pedro St Suite E Los Angeles CA 90011-1160 | |
| (213) 742-0300 | |
| (213) 746-0044 |
| Full Name | Khosro Vahid, M.d. A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 2121 S San Pedro St, Los Angeles, California |
| Authorized Official Name and Position | Khosro Vahid (PRESIDENT) |
| Authorized Official Contact | 2133043742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khosro Vahid, M.d. A Medical Corporation 2121 S San Pedro St Suite E Los Angeles CA 90011-1160 Ph: (213) 742-0300 | Khosro Vahid, M.d. A Medical Corporation 2121 S San Pedro St Suite E Los Angeles CA 90011-1160 Ph: (213) 742-0300 |
| NPI Number | 1205175775 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205175775 | NPI | - | NPPES |
| 00A426270 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42627 (California) | Primary |
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