Healthcare Provider Details

I. General information

NPI: 1750102745
Provider Name (Legal Business Name): COMMUNAL HEALTH MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 SHERMAN WAY STE 109
WINNETKA CA
91306-3269
US

IV. Provider business mailing address

20201 SHERMAN WAY STE 109
WINNETKA CA
91306-3269
US

V. Phone/Fax

Practice location:
  • Phone: 818-960-4000
  • Fax: 818-922-7019
Mailing address:
  • Phone: 818-782-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FARSHAD MALEKMEHR
Title or Position: CEO
Credential: MD
Phone: 818-782-3255