Healthcare Provider Details

I. General information

NPI: 1043246572
Provider Name (Legal Business Name): ARSHIA MEHDI NOORI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST SUITE 610E
LOS ANGELES CA
90048-5901
US

IV. Provider business mailing address

1761 N BEVERLY GLEN BLVD
LOS ANGELES CA
90077-2726
US

V. Phone/Fax

Practice location:
  • Phone: 310-746-5335
  • Fax:
Mailing address:
  • Phone: 310-746-5335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA73281
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA73281
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberA73281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: