Provider Demographics
NPI:1972915478
Name:PANORAMA PULMONARY CONSULTANTS, INC.
Entity type:Organization
Organization Name:PANORAMA PULMONARY CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NASROLLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-430-4519
Mailing Address - Street 1:4850 BENTWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6401
Mailing Address - Country:US
Mailing Address - Phone:818-430-4519
Mailing Address - Fax:
Practice Address - Street 1:726 4TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5656
Practice Address - Country:US
Practice Address - Phone:818-430-4519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105326282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital