Provider Demographics
NPI:1346692993
Name:CHRISTOPHER A ZAHIRI M.D. MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTOPHER A ZAHIRI M.D. MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-659-0989
Mailing Address - Street 1:1360 W 6TH STEET EAST BUILDING SUITE 'C'
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3511
Mailing Address - Country:US
Mailing Address - Phone:310-351-6655
Mailing Address - Fax:
Practice Address - Street 1:1360 W 6TH STEET EAST BUILDING SUITE 'C'
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-3511
Practice Address - Country:US
Practice Address - Phone:310-351-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-07
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64573332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site