Provider Demographics
NPI:1316242738
Name:ALIREZA TORCHIZY MD INC
Entity type:Organization
Organization Name:ALIREZA TORCHIZY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORCHIZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-789-9393
Mailing Address - Street 1:PO BOX 16541
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-6541
Mailing Address - Country:US
Mailing Address - Phone:818-789-9393
Mailing Address - Fax:818-789-9392
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE NO. #105
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-789-9393
Practice Address - Fax:818-789-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA048550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE62307Medicare UPIN