Provider Demographics
NPI:1396070546
Name:CHRISTOPHER A. ZAHIRI MD A MEDICAL CORPORATION
Entity type:Organization
Organization Name:CHRISTOPHER A. ZAHIRI MD A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-659-7414
Mailing Address - Street 1:50 N LA CIENEGA BLVD
Mailing Address - Street 2:100
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2227
Mailing Address - Country:US
Mailing Address - Phone:310-659-7414
Mailing Address - Fax:310-774-3940
Practice Address - Street 1:50 N LA CIENEGA BLVD
Practice Address - Street 2:100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2227
Practice Address - Country:US
Practice Address - Phone:310-659-7414
Practice Address - Fax:310-774-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64573261QM2500X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64573Medicare PIN
CAI53351Medicare UPIN