BOBBY PEZESHKI MD INC (NPI# 1164999215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164999215 |
| Entity Type | Organization |
| Organization Name | BOBBY PEZESHKI MD INC |
| Practice Address |
2011 Wilshire Blvd Ste 300 Los Angeles CA 90057-3503 |
| Mailing Address |
2007 Wilshire Blvd Ste 300 Los Angeles CA 90057-3506 |
| Practice Telephone | 2134132700 |
| Practice Fax Number | 2134136722 |
| Mailing Telephone | 2134132700 |
| Mailing Fax Number | 2134136722 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | DR. BABAK PEZESHKI (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2134132700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2011 WILSHIRE BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1083142376 | Advanced Hematology Oncology Medical Group Inc | Clinic/Center | 6221 Wilshire Blvd Ste 504, Los Angeles, CA 90048-5223 | 2017-05-31 |
| 1033516943 | Uc Regents | Clinic/Center | 10833 Le Conte, Los Angeles, CA 90095-1752 | 2014-11-21 |
| 1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
| 1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
| 1336260421 | Proactive Work Health Medical Center Inc | Clinic/Center | 1230 W 3rd St, Los Angeles, CA 90017-1408 | 2007-04-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on BOBBY PEZESHKI MD INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.