Physician Compare National (NPI:1316109911)

HEALTHCARE PROVIDER: MAHDI YAZDANY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316109911
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345419909
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130820000545
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YAZDANY
	Individual professional last name
Provider First Name	MAHDI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1000 E DOMINGUEZ ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 110
	Group Practice or individual's line 2 address
City	CARSON
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	907463615
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050351
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TORRANCE MEMORIAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050353
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050779
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y