Provider Demographics
NPI:1912416223
Name:DR SHERVIN AMINPOUR,INC
Entity Type:Organization
Organization Name:DR SHERVIN AMINPOUR,INC
Other - Org Name:DR SHERVIN AMINPOUR,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-992-0331
Mailing Address - Street 1:7345 MEDICAL CENTER DR STE 540
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1929
Mailing Address - Country:US
Mailing Address - Phone:818-865-1611
Mailing Address - Fax:818-865-6039
Practice Address - Street 1:7345 MEDICAL CENTER DR STE 540
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1929
Practice Address - Country:US
Practice Address - Phone:818-992-0331
Practice Address - Fax:818-992-0331
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHERVIN AMINPOUR MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-29
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99486207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Multi-Specialty