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CASPIAN MEDICAL CLINIC, CORP
NPI 1275765612
General Practice in Van Nuys, CA

Active since August 19, 2009
14103 VICTORY BLVD, SUITE 7, VAN NUYS, CA 91401(818) 994-0000(818) 988-2949 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caspian Medical Clinic, Corp NPPES

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

CASPIAN MEDICAL CLINIC, CORP (NPI 1275765612) is a healthcare organization registered as a general practice in Van Nuys, California and active in the NPI registry since August 2009. The organization lists Max Mahmoud Ghannadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1275765612
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCASPIAN MEDICAL CLINIC, CORP
Location Address14103 VICTORY BLVD, SUITE 7Van Nuys, CA 91401-1998
Mailing Address14103 Victory Blvd, Suite 7Van Nuys, CA 91401-1998 · (818) 994-0000 · Fax (818) 988-2949
Phone(818) 994-0000
Fax(818) 988-2949
Organization SubpartNo
Authorized OfficialMax Mahmoud GhannadiOwner · (818) 994-0000
Enumeration DateAugust 19, 2009
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1275765612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A102618
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
14103 VICTORY BLVD, Van Nuys, CA 91401
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Other Identifiers 2

Medicare PINBX757ACA
OtherA102618CA · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MAX M GHANNADI MD MEDICAL CORP
General Practice
14103 VICTORY BLVD, SUITE 7
VAN NUYS, CA 91401
Los Angeles County (818) 994-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caspian Medical Clinic, Corp's NPI number?

The NPI number for Caspian Medical Clinic, Corp is 1275765612. It was assigned to this organization in the NPPES registry on August 19, 2009.

Where is Caspian Medical Clinic, Corp located?

Caspian Medical Clinic, Corp is located at 14103 Victory Blvd Suite 7, Van Nuys, CA 91401. The listed phone number is (818) 994-0000.

What is Caspian Medical Clinic, Corp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Caspian Medical Clinic, Corp was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.