GHIASSI, MD INCORPORATED (NPI# 1235606294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235606294 |
Entity Type | Organization |
Organization Name | GHIASSI, MD INCORPORATED |
Other Organization Name | GHIASSI MD INCORPORATED |
Practice Address |
11645 Wilshire Blvd Ste 702 Los Angeles CA 90025-6807 |
Practice Telephone | 3108241262 |
Practice Fax Number | 3108245190 |
Mailing Telephone | 3108241262 |
Mailing Fax Number | 3108245190 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2020-10-27 |
Authorized Official Name | JULEE MEDINA (CLINICAL COORDINATOR) |
Authorized Official Telephone | 3108241262 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Ghiassi MD Incorporated | Doing Business As Name - Organization |
Street Address |
11645 WILSHIRE BLVD STE 702 |
City | LOS ANGELES |
State | CA |
Zip Code | 90025-6807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467464156 | Alidad Ghiassi | Specialist | 11645 Wilshire Blvd Ste 702, Los Angeles, CA 90025-6807 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
Find all providers in zip 90025 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720348162 | Ryu Yoshida | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2012-05-19 |
1619197282 | Lee Orthopedic Institute, A Professional Medical Corporation | Orthopaedic Surgery | 1035 S. Vermont Ave., Los Angeles, CA 90006 | 2007-04-26 |
1528170784 | Annette Billings | Orthopaedic Surgery | 1245 Wilshire Blvd, Ste 200, Los Angeles, CA 90017 | 2006-08-31 |
1609871383 | Norman Paul Zemel | Orthopaedic Surgery | 6801 Park Ter, Los Angeles, CA 90045-1543 | 2005-06-17 |
1063057230 | Sepideh Saber Md Inc | Orthopaedic Surgery | 11645 Wilshire Blvd Ste 1155, Los Angeles, CA 90025-6807 | 2019-11-12 |
1538553714 | Tennyson Lee Block | Orthopaedic Surgery | 8635 W 3rd St Ste 990w, Los Angeles, CA 90048-6116 | 2015-03-25 |
1699173922 | Jah Hand Surgery | Orthopaedic Surgery | 1127 Wilshire Blvd, Suite 510, Los Angeles, CA 90017-3901 | 2014-12-19 |
1558771576 | Luke Nicholson | Orthopaedic Surgery | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 | 2014-04-29 |
1720346034 | Rachel Lefebvre | Orthopaedic Surgery | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2012-04-25 |
1285917047 | Sepideh Saber | Orthopaedic Surgery | 11645 Wilshire Blvd Ste 1155, Los Angeles, CA 90025-6807 | 2011-09-27 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90025 |
Please comment or provide details below to improve the information on GHIASSI, MD INCORPORATED.
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.