Healthcare Provider Details

I. General information

NPI: 1225208408
Provider Name (Legal Business Name): CLAUDIA NAZANIN EMAMI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 WILSHIRE BLVD STE 326
BEVERLY HILLS CA
90211-2005
US

IV. Provider business mailing address

8920 WILSHIRE BLVD STE 326
BEVERLY HILLS CA
90211-2005
US

V. Phone/Fax

Practice location:
  • Phone: 310-598-7738
  • Fax:
Mailing address:
  • Phone: 310-598-7738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA97146
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number16001
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberA97146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: