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1619818242 NPI number — ANGELO SADEGHPOUR MD PHD, PLLC

NPI Number: 1619818242
Health Care Provider/Practitioner: ANGELO SADEGHPOUR MD PHD, PLLC

Information about “1619818242” NPI (ANGELO SADEGHPOUR MD PHD, PLLC) exists in 1619818242 in HTML format HTML  |  1619818242 in plain Text format TXT  |  1619818242 in PDF (Portable Document Format) PDF  |  1619818242 in an XML format XML  formats.

NPI Number : 1619818242 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619818242",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGELO SADEGHPOUR MD PHD, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6918 RUGBY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON PARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90255-4722",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-582-9999",
    "MailingAddressFaxNumber": "305-686-1752",
    "FirstLinePracticeLocationAddress": "8500 WILSHIRE BLVD STE 740",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEVERLY HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90211-3105",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-582-9999",
    "PracticeLocationAddressFaxNumber": "305-686-1752",
    "EnumerationDate": "04/06/2026",
    "LastUpdateDate": "04/06/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SADEGHPOUR",
    "AuthorizedOfficialFirstName": "ANGELO",
    "AuthorizedOfficialMiddleName": "S.",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-906-8889",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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