Provider Demographics
NPI:1366868606
Name:MEDHI IZADI, DO INC
Entity Type:Organization
Organization Name:MEDHI IZADI, DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:IZADI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-888-3387
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 302
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1975
Mailing Address - Country:US
Mailing Address - Phone:818-888-3387
Mailing Address - Fax:
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 302
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1975
Practice Address - Country:US
Practice Address - Phone:818-888-3387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty