Provider Demographics
NPI:1154191088
Name:ESKANDARI MEDICAL PRACTICE CORP
Entity type:Organization
Organization Name:ESKANDARI MEDICAL PRACTICE CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FARAHNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKANDARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-536-6897
Mailing Address - Street 1:9229 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5501
Mailing Address - Country:US
Mailing Address - Phone:281-536-6897
Mailing Address - Fax:
Practice Address - Street 1:9229 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5501
Practice Address - Country:US
Practice Address - Phone:281-536-6897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care