MEDICARE: AMINZADEH & AHMADPOUR MEDICAL SERVICES,

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	101YM0800X	Mental Health Counselor	A92269	CA

General Provider Information

NPI Number	:	1457702888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMINZADEH & AHMADPOUR MEDICAL SERVICES,

Provider Business Mailing Address
First Line	:	239 S LA CIENEGA BLVD STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3319
Country	:	US
Telephone Number	:	619-383-6700
Fax Number	:	619-383-6701

Provider Business Practice Location Address
First Line	:	239 S LA CIENEGA BLVD STE 210
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3319
Country	:	US
Telephone Number	:	619-383-6700
Fax Number	:	619-383-6701

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARASTOU AMINZADEH
Credential	:	MD
Telephone Number	:	619-383-6700

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	06/27/2016

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