MEDICARE: CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC

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	A73281	CA
2	207RC0000X	Cardiovascular Disease Physician	A73281	CA
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	A73281	CA

General Provider Information

NPI Number	:	1811141591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIAC ELECTROPHYSIOLOGY INSTITUTE PC

Provider Business Mailing Address
First Line	:	1761 N BEVERLY GLEN BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90077-2726
Country	:	US
Telephone Number	:	310-746-5335
Fax Number	:

Provider Business Practice Location Address
First Line	:	8631 W 3RD ST STE 710E
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5911
Country	:	US
Telephone Number	:	310-746-5335
Fax Number	:	310-499-0025

Authorized Official
Title or Position	:	CEO
Name	:	DR. ARSHIA MEHDI NOORI
Credential	:	MD
Telephone Number	:	310-746-5335

Provider Enumeration Date	:	11/07/2008
Last Update Date	:	06/07/2024

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