Provider Demographics
NPI:1548829468
Name:ASLAN PIROUZ MEDICAL CORP
Entity type:Organization
Organization Name:ASLAN PIROUZ MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIROUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-709-9125
Mailing Address - Street 1:PO BOX 69413
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-0413
Mailing Address - Country:US
Mailing Address - Phone:310-477-8400
Mailing Address - Fax:
Practice Address - Street 1:5901 W OLYMPIC BLVD STE 504
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4633
Practice Address - Country:US
Practice Address - Phone:310-477-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty