Healthcare Provider Details

I. General information

NPI: 1396070546
Provider Name (Legal Business Name): CHRISTOPHER A. ZAHIRI MD A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD 100
BEVERLY HILLS CA
90211-2227
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD 100
BEVERLY HILLS CA
90211-2227
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-7414
  • Fax: 310-774-3940
Mailing address:
  • Phone: 310-659-7414
  • Fax: 310-774-3940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberA64573
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA64573
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTOPHER ZAHIRI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-659-7414