=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871664094
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MIRALI ZARRABI MD A MEDICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2006
-----------------------------------------------------
Last Update Date | 10/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5901 W OLYMPIC BLVD SUITE 508
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90036-4667
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-642-7774
-----------------------------------------------------
Fax | 310-868-0444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 442
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90213-0442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-642-7774
-----------------------------------------------------
Fax | 310-582-5975
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | MIRALI ZARRABI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 310-889-8914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | A64722
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------