ANOUSHIRAVAN BOGHAIRI MD; NPI #1972704054

Contact Information

ANOUSHIRAVAN BOGHAIRI MD

5565 GROSSMONT CENTER DRIVE
BLDG 1 STE 115
LA MESA, CA 91942

Phone: 619-698-6667
Fax: 619-698-6684
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for ANOUSHIRAVAN BOGHAIRI MD

NPI #	`1972704054`
LBN Legal business name	ANOUSHIRAVAN BOGHAIRI MD
Authorized official	ANOUSHIRAVAN BOGHAIRI - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/29/2007
Last updated	08/22/2020 - About 6 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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