Provider Demographics
NPI:1942683412
Name:GEZEL SAHELI MD.INC
Entity type:Organization
Organization Name:GEZEL SAHELI MD.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHELI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-310-3668
Mailing Address - Street 1:16778 CALLE DE CATALINA
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-1963
Mailing Address - Country:US
Mailing Address - Phone:310-310-3668
Mailing Address - Fax:
Practice Address - Street 1:16778 CALLE DE CATALINA
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-1963
Practice Address - Country:US
Practice Address - Phone:310-310-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51701060281OtherAMA