Physician Compare National (NPI:1760564702)

HEALTHCARE PROVIDER: SIAMAK BARKHORDARIAN 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	1760564702
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820198468
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070711000440
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BARKHORDARIAN
	Individual professional last name
Provider First Name	SIAMAK
	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	1995
	Individual professional's medical school graduation year
Primary Specialty	VASCULAR SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GENERAL SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	INTERVENTIONAL RADIOLOGY
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	PERIPHERAL VASCULAR DISEASE
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY, GENERAL SURGERY, INTERVENTIONAL RADIOLOGY, PERIPHERAL VASCULAR DISEASE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	8631 W 3RD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 540 E
	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	900485909
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050063
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLLYWOOD PRESBYTERIAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050625
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CEDARS-SINAI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050135
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M