Provider Demographics
NPI:1366620742
Name:HOOSHANG SEMNANI MD. INC
Entity type:Organization
Organization Name:HOOSHANG SEMNANI MD. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOOSHANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-885-5349
Mailing Address - Street 1:2934 1/2 N BEVERLY GLEN CIR
Mailing Address - Street 2:BOX 21
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-1724
Mailing Address - Country:US
Mailing Address - Phone:818-882-2441
Mailing Address - Fax:818-882-2466
Practice Address - Street 1:18300 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4105
Practice Address - Country:US
Practice Address - Phone:818-885-5349
Practice Address - Fax:818-885-5448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA411582080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty