MEDICARE: DR. SHAHRIAR JARCHI M.D.

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	A96880	CA
2	207R00000X	Internal Medicine Physician	A96880	CA

General Provider Information

NPI Number	:	1417008772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHRIAR JARCHI M.D.

Provider Business Mailing Address
First Line	:	1171 S ROBERTSON BLVD
Second Line	:	SUITE #242
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	626-765-4321
Fax Number	:	310-657-8728

Provider Business Practice Location Address
First Line	:	1171 S ROBERTSON BLVD
Second Line	:	SUITE #242
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1403
Country	:	US
Telephone Number	:	626-765-4321
Fax Number	:	866-931-3134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	07/18/2024

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