Provider Demographics
NPI:1114186608
Name:DELIGHT MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:DELIGHT MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KERENDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-859-1077
Mailing Address - Street 1:8484 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 670
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3227
Mailing Address - Country:US
Mailing Address - Phone:310-859-1077
Mailing Address - Fax:323-782-9432
Practice Address - Street 1:8484 WILSHIRE BLVD
Practice Address - Street 2:SUITE 670
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3227
Practice Address - Country:US
Practice Address - Phone:310-859-1077
Practice Address - Fax:323-782-9432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8382207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty