Healthcare Provider Details

I. General information

NPI: 1528987914
Provider Name (Legal Business Name): INTENSIVE PULMONOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 WOODLAKE AVE STE 290
WEST HILLS CA
91307-1490
US

IV. Provider business mailing address

PO BOX 77790
CORONA CA
92877-0126
US

V. Phone/Fax

Practice location:
  • Phone: 800-626-2468
  • Fax: 951-272-2815
Mailing address:
  • Phone: 800-626-2468
  • Fax: 951-272-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAHRYAR ESHAGHIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-313-3319