MEDICARE: D-MED 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	207RC0000X	Cardiovascular Disease Physician	G66783	CA

General Provider Information

NPI Number	:	1588896005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D-MED SERVICES

Provider Business Mailing Address
First Line	:	2658 GRIFFITH PARK BLVD
Second Line	:	SUITE 719
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-2520
Country	:	US
Telephone Number	:	323-304-6546
Fax Number	:	323-297-2994

Provider Business Practice Location Address
First Line	:	4221 WILSHIRE BLVD
Second Line	:	SUITE 222
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-3512
Country	:	US
Telephone Number	:	323-304-6546
Fax Number	:	323-297-2994

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEDAYATOLLAH ZAGHI
Credential	:	M.D.
Telephone Number	:	323-304-6546

Provider Enumeration Date	:	08/17/2009
Last Update Date	:	08/17/2009

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Directions to “D-MED SERVICES ” Practice Location

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