Provider Demographics
NPI:1285855288
Name:TOWFIGH, SHIRIN (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:
Last Name:TOWFIGH
Suffix:
Gender:F
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 N ROXBURY DR
Mailing Address - Street 2:SUITE 224
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4231
Mailing Address - Country:US
Mailing Address - Phone:310-358-5020
Mailing Address - Fax:310-358-5025
Practice Address - Street 1:450 N ROXBURY DR
Practice Address - Street 2:SUITE 224
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4231
Practice Address - Country:US
Practice Address - Phone:310-358-5020
Practice Address - Fax:310-358-5025
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64128208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A641280Medicaid
CAWA64128AMedicare ID - Type Unspecified
CA00A641280Medicaid