Provider Demographics
NPI:1598042269
Name:HOUSECALL MD
Entity Type:Organization
Organization Name:HOUSECALL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRIAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JARCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-765-4321
Mailing Address - Street 1:1171 S ROBERTSON BLVD
Mailing Address - Street 2:SUITE 242
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1403
Mailing Address - Country:US
Mailing Address - Phone:626-765-4321
Mailing Address - Fax:310-657-8728
Practice Address - Street 1:1171 S ROBERTSON BLVD
Practice Address - Street 2:SUITE 242
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1403
Practice Address - Country:US
Practice Address - Phone:626-765-4321
Practice Address - Fax:310-657-8728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty