MEDICARE: A SHAWN VEISEH MD A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	G74878	CA

General Provider Information

NPI Number	:	1285737353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A SHAWN VEISEH MD A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	8900 WILSHIRE BLVD
Second Line	:	SUITE 360
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211
Country	:	US
Telephone Number	:	310-209-2098
Fax Number	:	310-209-1577

Provider Business Practice Location Address
First Line	:	8900 WILSHIRE BLVD
Second Line	:	SUITE 360
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211
Country	:	US
Telephone Number	:	310-209-2098
Fax Number	:	310-209-1577

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AFSHIN SHAWN VEISEH
Credential	:	M.D.
Telephone Number	:	310-702-8629

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	04/03/2026

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