Provider Demographics
NPI:1891198172
Name:OB/GYN HOSPITAL SPECIALISTS OF THE VALLEY MANAGEMENT, LLC
Entity Type:Organization
Organization Name:OB/GYN HOSPITAL SPECIALISTS OF THE VALLEY MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:PEJMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIMPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-330-5611
Mailing Address - Street 1:15477 VENTURA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3049
Mailing Address - Country:US
Mailing Address - Phone:818-330-5611
Mailing Address - Fax:818-365-1811
Practice Address - Street 1:15477 VENTURA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3049
Practice Address - Country:US
Practice Address - Phone:818-330-5611
Practice Address - Fax:818-365-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty