Healthcare Provider Details

I. General information

NPI: 1316181548
Provider Name (Legal Business Name): SHIRIN ZAHRA ASGARIAN O.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2009
Last Update Date: 05/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 WILSHIRE BLVD SUITE 530
BEVERLY HILLS CA
90211
US

IV. Provider business mailing address

8500 WILSHIRE BLVD SUITE 530
BEVERLY HILLS CA
90211
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-8846
  • Fax: 310-659-8847
Mailing address:
  • Phone: 310-659-8846
  • Fax: 310-659-8847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3206
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: