Provider Demographics
NPI:1811141591
Name:CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC
Entity type:Organization
Organization Name:CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHIA
Authorized Official - Middle Name:MEHDI
Authorized Official - Last Name:NOORI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-746-5335
Mailing Address - Street 1:1761 N BEVERLY GLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2726
Mailing Address - Country:US
Mailing Address - Phone:310-746-5335
Mailing Address - Fax:
Practice Address - Street 1:8631 W 3RD ST STE 710E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5911
Practice Address - Country:US
Practice Address - Phone:310-746-5335
Practice Address - Fax:310-499-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73281207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty