Provider Demographics
NPI:1821104068
Name:JAHANGIRI VENTURES
Entity Type:Organization
Organization Name:JAHANGIRI VENTURES
Other - Org Name:HEARTSAVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-387-9900
Mailing Address - Street 1:20269 STEVENS CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2258
Mailing Address - Country:US
Mailing Address - Phone:408-865-6600
Mailing Address - Fax:408-865-6612
Practice Address - Street 1:20269 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2258
Practice Address - Country:US
Practice Address - Phone:408-865-6600
Practice Address - Fax:408-865-6612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherTAX ID