Physician Compare National (NPI:1457507915)

HEALTHCARE PROVIDER: FARAMARZ TAJ TEHRANI 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	1457507915
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577695600
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100724000262
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TEHRANI
	Individual professional last name
Provider First Name	FARAMARZ
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1513 S GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 400
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900153075
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050149
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CALIFORNIA HOSPITAL MEDICAL CENTER LA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050779
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M