Provider Demographics
NPI:1063464147
Name:ZAHIRI, HORMOZ (MD, MS)
Entity Type:Individual
Prefix:
First Name:HORMOZ
Middle Name:
Last Name:ZAHIRI
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:310-659-0989
Mailing Address - Fax:310-659-3773
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:310-659-0989
Practice Address - Fax:310-659-3773
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA38240207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA28576Medicare UPIN
CAWA38240Medicare ID - Type Unspecified
CAW13800Medicare ID - Type Unspecified
CAWPT25168BMedicare ID - Type Unspecified