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General NPI Number Information
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NPI Number | 1720269194
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Entity Type | Organization
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Legal Business Name | HEALTH CARE ANGELS MEDICAL CLINIC INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 9146 SEPULVEDA BLVD STE B
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City | NORTH HILLS
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State | CA
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Zip | 91343-6948
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Country | US
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Telephone | 818-920-1133
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Fax | 818-893-6030
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Provider Business Mailing Address
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Address Line | 9146 SEPULVEDA BLVD STE B
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City | NORTH HILLS
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State | CA
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Zip | 91343-6948
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Country | US
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Telephone | 818-920-1133
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Fax | 818-893-6030
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DR. ASHKAN ELIAHOU SEFARADI
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Credential | MD
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Telephone | 310-592-2522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A64183
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License Number State | CA
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