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General NPI Number Information
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NPI Number | 1285932749
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Entity Type | Organization
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Legal Business Name | SHERVIN ESHAGHIAN MD INC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 2080 CENTURY PARK E SUITE 1405
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City | LOS ANGELES
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State | CA
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Zip | 90067-2001
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Country | US
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Telephone | 310-858-6500
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Fax | 310-606-2648
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Provider Business Mailing Address
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Address Line | PO BOX 10658
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City | BEVERLY HILLS
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State | CA
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Zip | 90213-3658
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Country | US
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Telephone | 310-858-6500
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Fax | 310-606-2648
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERVIN ESHAGHIAN
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Credential | MD
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Telephone | 310-858-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97729
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License Number State | CA
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