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Contact Information

KIANOUSH SHAKIB MD INC
11661 SAN VICENTE BLVD STE 101
LOS ANGELES, CA90049-5150
 Phone: 310-312-1231
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KIANOUSH SHAKIB MD INC

NPI # 1205309341
LBN Legal business name KIANOUSH SHAKIB MD INC
Authorized official KIANOUSH SHAKIB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2019
Last updated 01/10/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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