SAN JOSEPH MEDICAL CLINIC
NPI 1184817496
Specialist in Van Nuys, CA

Q: What is Kevin Pezeshki MD Inc's NPI number?

The NPI number for Kevin Pezeshki MD Inc is 1184817496. It was assigned to this organization in the NPPES registry on August 20, 2007. The provider is doing business as San Joseph Medical Clinic.

Q: What is Kevin Pezeshki MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 20, 2007

13750 VICTORY BLVD, VAN NUYS, CA 91401(818) 909-9955(818) 909-0454 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About San Joseph Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JOSEPH MEDICAL CLINIC (NPI 1184817496) is a healthcare organization registered as a specialist in Van Nuys, California and active in the NPI registry since August 2007. The organization lists Kevin Pezeshki, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184817496

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKEVIN PEZESHKI MD INC

Location Address13750 VICTORY BLVDVan Nuys, CA 91401-2324

Mailing Address13750 Victory BlvdVan Nuys, CA 91401-2324 · (818) 909-9955 · Fax (818) 909-0454

Phone(818) 909-9955

Fax(818) 909-0454

Organization SubpartNo

Authorized OfficialKevin PezeshkiMedical Director · (818) 909-9955

Enumeration DateAugust 20, 2007

✔ NPI 1184817496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A67148

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

13750 VICTORY BLVD, Van Nuys, CA 91401

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Other Names 1

Doing Business AsSan Joseph Medical Clinic

Other Identifiers 3

Medicare UPINH02140CA

MedicaidGR0090250CA

Medicare PINA67148CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

P. MAROUNI, M.D INC.

Family Medicine