Provider Demographics
NPI:1457702888
Name:AMINZADEH & AHMADPOUR MEDICAL SERVICES,
Entity Type:Organization
Organization Name:AMINZADEH & AHMADPOUR MEDICAL SERVICES,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASTOU
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-383-6700
Mailing Address - Street 1:239 S LA CIENEGA BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3319
Mailing Address - Country:US
Mailing Address - Phone:619-383-6700
Mailing Address - Fax:619-383-6701
Practice Address - Street 1:239 S LA CIENEGA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3319
Practice Address - Country:US
Practice Address - Phone:619-383-6700
Practice Address - Fax:619-383-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty