Provider Demographics
NPI:1255669495
Name:WESTHILLSOBGYN INC
Entity Type:Organization
Organization Name:WESTHILLSOBGYN INC
Other - Org Name:MAHIN AMIRGHOLAMI MD INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRGHOLAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-888-6564
Mailing Address - Street 1:23101 SHERMAN PL
Mailing Address - Street 2:#401
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2028
Mailing Address - Country:US
Mailing Address - Phone:818-888-6545
Mailing Address - Fax:818-593-4575
Practice Address - Street 1:23101 SHERMAN PL
Practice Address - Street 2:#401
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2028
Practice Address - Country:US
Practice Address - Phone:818-888-6564
Practice Address - Fax:818-593-4575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-30
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102266207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty