Provider Demographics
NPI:1427588706
Name:METRO HEALTHCARE MEDICAL CORPORATION
Entity Type:Organization
Organization Name:METRO HEALTHCARE MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARSHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HEKMAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-380-3800
Mailing Address - Street 1:3440 WILSHIRE BLVD STE 1207
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2127
Mailing Address - Country:US
Mailing Address - Phone:213-380-3800
Mailing Address - Fax:
Practice Address - Street 1:3440 WILSHIRE BLVD STE 1207
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2127
Practice Address - Country:US
Practice Address - Phone:213-380-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherIRS