MEDICARE: ROYA H GHAFOURI MD INC

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	207W00000X	Ophthalmology Physician	A115937	CA

General Provider Information

NPI Number	:	1437527199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYA H GHAFOURI MD INC

Provider Business Mailing Address
First Line	:	9919 ANTHONY PL
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-2001
Country	:	US
Telephone Number	:	310-867-1270
Fax Number	:

Provider Business Practice Location Address
First Line	:	9735 WILSHIRE BLVD STE 421
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-2113
Country	:	US
Telephone Number	:	310-990-0905
Fax Number	:	424-204-1459

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROYA GHAFOURI
Credential	:
Telephone Number	:	310-867-1270

Provider Enumeration Date	:	09/10/2015
Last Update Date	:	01/20/2020

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