Provider Demographics
NPI:1184963738
Name:H.FOROOHAR, M.D. INC
Entity type:Organization
Organization Name:H.FOROOHAR, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDEN
Authorized Official - Prefix:DR
Authorized Official - First Name:HESHMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:FOROOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-784-4941
Mailing Address - Street 1:16661 VENTURA BLVD
Mailing Address - Street 2:707
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1914
Mailing Address - Country:US
Mailing Address - Phone:818-784-4941
Mailing Address - Fax:818-784-4949
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:707
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-784-4941
Practice Address - Fax:818-784-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43277207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty