Healthcare Provider Details

I. General information

NPI: 1629899794
Provider Name (Legal Business Name): LA PHYSICIANS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12827 HARBOR BLVD STE G
GARDEN GROVE CA
92840-5838
US

IV. Provider business mailing address

6720 VALLEY CIRCLE BLVD
WEST HILLS CA
91307-2809
US

V. Phone/Fax

Practice location:
  • Phone: 424-420-4424
  • Fax: 747-777-4110
Mailing address:
  • Phone: 424-420-4424
  • Fax: 747-777-4110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MASSOUD ARBABZADEH
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 424-420-4424