Healthcare Provider Details

I. General information

NPI: 1811141591
Provider Name (Legal Business Name): CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2008
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST STE 710E
LOS ANGELES CA
90048-5911
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: 310-499-0025
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: DR. ARSHIA MEHDI NOORI
Title or Position: CEO
Credential: MD
Phone: 310-746-5335