MEDICARE: SHADAN SAFVATI M.D.

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	174400000X	Specialist	A94212	CA

General Provider Information

NPI Number	:	1649299280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHADAN SAFVATI M.D.

Provider Business Mailing Address
First Line	:	11600 WILSHIRE BLVD
Second Line	:	SUITE 12
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5781
Country	:	US
Telephone Number	:	310-312-0101
Fax Number	:	310-312-0102

Provider Business Practice Location Address
First Line	:	11600 WILSHIRE BLVD
Second Line	:	SUITE 12
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5781
Country	:	US
Telephone Number	:	310-312-0101
Fax Number	:	310-312-0102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/20/2015

Similar Medicare Providers

1992788426 — DR. GERALD HUNTER MARKOVITZ M.D.
Practice Location Address:

11600 WILSHIRE BLVD , SUITE 512
LOS ANGELES, CA
90025-5781

Practice Phone: 310-473-5067
Practice Fax: 310-204-1152

1346290814 — DR. WALTER R O'BRIEN M.D.
Practice Location Address:

11600 WILSHIRE BLVD , SUITE 522
LOS ANGELES, CA
90025-5781

Practice Phone: 310-477-7276
Practice Fax: 310-477-5148

1942254545 — MONICA ANDRIACCHI AUD
Practice Location Address:

11600 WILSHIRE BLVD , SUITE 114
LOS ANGELES, CA
90025-5781

Practice Phone: 310-477-1519
Practice Fax:

1144277690 — LAURA CECILE ACKERMAN
Practice Location Address:

11600 WILSHIRE BLVD , STE 114
LOS ANGELES, CA
90025-5781

Practice Phone: 310-477-1519
Practice Fax: 310-479-5673

1760405658 — SUSIE GOODRIDGE P.T.
Practice Location Address:

11600 WILSHIRE BLVD , LL14
LOS ANGELES, CA
90025-5781

Practice Phone: 310-996-0085
Practice Fax: 310-996-1064

1952312696 — DR. RICHARD N. STANMAN DDS
Practice Location Address:

11600 WILSHIRE BLVD , SUITE 308
LOS ANGELES, CA
90025-5781

Practice Phone: 310-473-8770
Practice Fax: 310-477-5818

Directions to “ SHADAN SAFVATI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.