Healthcare Provider Details

I. General information

NPI: 1861733982
Provider Name (Legal Business Name): JAMES A NASSIRI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 216
BEVERLY HILLS CA
90210-4352
US

IV. Provider business mailing address

435 N BEDFORD DR STE 216
BEVERLY HILLS CA
90210-4352
US

V. Phone/Fax

Practice location:
  • Phone: 310-273-2000
  • Fax: 424-296-3201
Mailing address:
  • Phone: 310-273-2000
  • Fax: 310-273-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA86743
License Number StateCA

VIII. Authorized Official

Name: JAMES A NASSIRI
Title or Position: PRESIDENT
Credential: MD
Phone: 310-273-2000