Provider Demographics
NPI:1629307319
Name:HUSSEIN VAHABZADEH MD INC
Entity Type:Organization
Organization Name:HUSSEIN VAHABZADEH MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAHABZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-275-2020
Mailing Address - Street 1:9033 WILSHIRE BLVD STE 403
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1847
Mailing Address - Country:US
Mailing Address - Phone:310-275-2020
Mailing Address - Fax:310-275-8819
Practice Address - Street 1:9033 WILSHIRE BLVD STE 403
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1847
Practice Address - Country:US
Practice Address - Phone:310-275-2020
Practice Address - Fax:310-275-8819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty