Healthcare Provider Details

I. General information

NPI: 1215778717
Provider Name (Legal Business Name): ESTHER AKHAMZADEH DNP-BC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 S LA CIENEGA BLVD STE 400B
BEVERLY HILLS CA
90211-3317
US

IV. Provider business mailing address

292 S LA CIENEGA BLVD STE 400B
BEVERLY HILLS CA
90211-3317
US

V. Phone/Fax

Practice location:
  • Phone: 310-210-1725
  • Fax:
Mailing address:
  • Phone: 310-210-1725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ESTHER AKHAMZADEH
Title or Position: DR
Credential: DNP
Phone: 310-210-1725