MEDICARE: IHS MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1164999306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IHS MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	10850 WILSHIRE BLVD STE 1130
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4323
Country	:	US
Telephone Number	:	310-209-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	10850 WILSHIRE BLVD STE 1130
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4323
Country	:	US
Telephone Number	:	310-209-0425
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MRS. SACHEEN NAZARIAN
Credential	:	DC
Telephone Number	:	310-209-0425

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	12/10/2020

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Directions to “IHS MEDICAL GROUP PC ” Practice Location

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