Provider Demographics
NPI:1568220812
Name:DR. SAEID KARANDISH INC.
Entity Type:Organization
Organization Name:DR. SAEID KARANDISH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SAEID
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANDISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-271-1966
Mailing Address - Street 1:3733 OAKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4430
Mailing Address - Country:US
Mailing Address - Phone:818-271-1966
Mailing Address - Fax:323-916-4356
Practice Address - Street 1:16661 VENTURA BLVD STE 313
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1956
Practice Address - Country:US
Practice Address - Phone:818-271-1966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAEID KARANDISH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty