Provider Demographics
NPI:1114191186
Name:ESHAGHIAN, PATRICIA HEDIEH (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:HEDIEH
Last Name:ESHAGHIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-301-8807
Mailing Address - Fax:310-301-8751
Practice Address - Street 1:UCLA DIVISION OF PULMONARY AND CRITICAL CARE
Practice Address - Street 2:CHS 37-131
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-5615
Practice Address - Fax:310-206-8622
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93356207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABY160ZMedicare PIN
NYI51038Medicare UPIN