MEDICARE: ANAHITA GHAZI 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	207R00000X	Internal Medicine Physician	125080815	IL
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A201645	CA

General Provider Information

NPI Number	:	1588385322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAHITA GHAZI M.D.

Provider Business Mailing Address
First Line	:	1000 W CARSON ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2059
Country	:	US
Telephone Number	:	310-222-1867
Fax Number	:	310-533-0627

Provider Business Practice Location Address
First Line	:	1000 W CARSON ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90502-2059
Country	:	US
Telephone Number	:	310-222-1867
Fax Number	:	310-533-0627

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

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	06/05/2026

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