Healthcare Provider Details

I. General information

NPI: 1336200435
Provider Name (Legal Business Name): BEHNOUSH ZARRINI MD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WILSHIRE BLVD STE 363W
BEVERLY HILLS CA
90212-3464
US

IV. Provider business mailing address

9100 WILSHIRE BLVD STE 363W
BEVERLY HILLS CA
90212-3464
US

V. Phone/Fax

Practice location:
  • Phone: 310-409-3537
  • Fax: 310-287-9899
Mailing address:
  • Phone: 310-409-3537
  • Fax: 310-287-9899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA80739
License Number StateCA

VIII. Authorized Official

Name: BEHNOUSH Y ZARRINI
Title or Position: OWNER
Credential: M.D.
Phone: 310-409-3537